SearchArizonaContractor

Kyle Moore

NPI 1992004147 · on the registry since 2011 · sole proprietor

Practice

Address
3202 E Bellevue St Apt 34
Tucson, AZ 85716
Phone
(520) 390-0142

Registry record

Primary taxonomy
Contractor
171W00000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-03-26

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 Arizona