NPI 1124650551
Kevyana Moore
Practice location
- Address
- 1430 Olive St STE 400, Saint Louis, MO 63103-2303
- Phone
- (314) 206-3700
Registered specialties
Registered Record Administrator
Primary
Registry record
- NPI
- 1124650551
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 4 Feb 2020
- Record last updated
- 4 Feb 2020
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.