Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY KATHLEEN MOORE, D.O.
Active Sole ProprietorMARY KATHLEEN MOORE, D.O. is a Emergency Medical Services healthcare provider located in TAHLEQUAH, Oklahoma. NPI 1902837776 is currently active in the NPPES registry. Verify at CMS.
Emergency Medical Services · TAHLEQUAH, OK
Registration Details
- NPI Number
- 1902837776
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 6, 2006 (20.142043130058 yrs)
- Last Updated
- Jul 8, 2007
- License
-
3976 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
100 S BLISS AVETAHLEQUAH, OK, 744642512Browse OK providers · Browse ZIP 74464
- Phone
- 9184583104
- Fax
- 9184583580
- Primary Specialty
-
Emergency Medical Services
207PE0004X
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.