Search › Idaho › 174400000X
Kala Moore, LMP
NPI 1619278082 · on the registry since 2010 · sole proprietor
Practice
- Address
- 852 W Kathleen Ave
Coeur D Alene, ID 83815 - Phone
- (208) 666-6665
Additional practice sites
- 15404 E Springfield Ave, Spokane Valley, WA
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Also registered as
- 225700000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-07-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho