Katessa Nicole Moore M.S.

NPI 1134247893 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1134247893
Gender Female
Enumeration Date 03/27/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
7304 RED PINE DR
FORT SMITH AR, 72916-8805, US
Phone (479) 518-0692
Fax
Business Location
7304 RED PINE DR
FORT SMITH AR, 72916-8805, US
Phone (479) 518-0692
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Arkansas
License Number P7994
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According to our database, Mrs. Katessa Nicole Moore M.S. NPI is 1134247893, taxonomy code is 235Z00000X and license number is P7994, license state is located at Arkansas. Katessa Nicole Moore M.S. physically located at 7304 Red Pine Dr, Fort Smith AR, 72916-8805. NPI Number Katessa Nicole Moore M.S. has the Individual type.

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1134247893 NPI number is provided on an as is basis without warranty of any kind. 1134247893 is maintained by the National Plan & Provider Enumeration System. The contents of Katessa Nicole Moore M.S. are for informational purposes only.