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Kaitlyn Moore
NPI 1992212302 · on the registry since 2018
Practice
- Address
- 600 Bowman Rd
Springfield, OH 45505 - Phone
- (937) 360-5711
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Also registered as
- 2255A2300X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-01-08
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 Ohio