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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KALA MARIE MOORE, LMP

Active Sole Proprietor

KALA MARIE MOORE, LMP is a Specialist healthcare provider located in COEUR D ALENE, Idaho. NPI 1619278082 is currently active in the NPPES registry. Verify at CMS.

Specialist · COEUR D ALENE, ID

Registration Details

NPI Number
1619278082
Provider Type
Individual
Gender
Female
NPI Issued
Nov 16, 2010 (15.70874175485 yrs)
Last Updated
Jul 22, 2020
License
MA60183873 (WA)
Sole Proprietor
Yes

Practice Information

Address
852 W KATHLEEN AVE
COEUR D ALENE, ID, 838159405
Browse ID providers · Browse ZIP 83815
Phone
2086666665
Primary Specialty
Specialist
174400000X
Additional Specialty
Specialist

Other Specialist Providers in COEUR D ALENE, ID

Name Credential NPI
DR. LLOYD E. WITHAM M.D. 1467448860
JOHN T GIESEN M.D. 1093701492
MR. FREDRICK MARK OWSLEY M.D. 1265413017
DR. DARYL K MACCARTER M.D. 1740249275
MARK F BRINKMAN M.D. 1205899671
DAVID K WINEINGER M.D. 1972566214
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.