NPI 1003359506
Kylie Moore
Practice location
- Address
- 411 Central Methodist Sq, Fayette, MO 65248-1104
- Phone
- (816) 284-2967
Registered specialties (2)
Student in an Organized Health Care Education/Training Program
Primary
Athletic Trainer
Registry record
- NPI
- 1003359506
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 1 Dec 2016
- Record last updated
- 1 Dec 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.