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Katie Moore
NPI 1952816498 · on the registry since 2017
Practice
- Address
- 28 Bullseye Dr
Troy, IL 62294 - Phone
- (618) 792-8782
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-06-03
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 Illinois