NPI 1063207348

Kati Renae Moore

Practitioner Physician Assistant Kearney, NE

Practice location

Address: 10 E 31st St, Kearney, NE 68847-2908
Phone: (308) 737-5284

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1063207348
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Apr 2025
Record last updated: 12 Aug 2025

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.