Richard Moore

NPI 1619920790 - Counselor - 101YA0400X

NPI Details
NPI 1619920790
Gender Male
Enumeration Date 05/18/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
940 N WACO AVE
WICHITA KS, 67203-3947, US
Phone (316) 660-7550
Fax (316) 383-8241
Business Location
635 N MAIN ST
WICHITA KS, 67203-3602, US
Phone (316) 660-7600
Fax (316) 383-7925
Toxanomy
Taxonomy Code 101YA0400X
License State Kansas
License Number 010590
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According to our database, Richard Moore NPI is 1619920790, taxonomy code is 101YA0400X and license number is 010590, license state is located at Kansas. Richard Moore physically located at 940 N Waco Ave, Wichita KS, 67203-3947. NPI Number Richard Moore has the Individual type.

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1619920790 NPI number is provided on an as is basis without warranty of any kind. 1619920790 is maintained by the National Plan & Provider Enumeration System. The contents of Richard Moore are for informational purposes only.