Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KYLE R MOORE, D.P.M.
ActiveDR. KYLE R MOORE, D.P.M. is a Foot & Ankle Surgery Podiatrist healthcare provider located in CROSBY, Minnesota. NPI 1093155442 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery Podiatrist · CROSBY, MN
Registration Details
- NPI Number
- 1093155442
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 30, 2013 (13.165800537366 yrs)
- Last Updated
- Jul 21, 2022
- Licenses
-
PO3825 (FL)1051 (MN)
Practice Information
- Address
-
320 EAST MAIN STREETCROSBY, MN, 56441Browse MN providers · Browse ZIP 56441
- Phone
- 2185467000
- Fax
- 2185464400
- Primary Specialty
-
Foot & Ankle Surgery Podiatrist
213ES0103X
- Additional Specialty
- Foot & Ankle Surgery Podiatrist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.