Moore, Kay L

Moore, Kay L is an individual health care provider with primary practice located at 16 Woodcross Dr , Columbia SC 29212-2331. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Moore, Kay L can be contacted via phone (803) 732-0140.

Contact Information

Primary practice address
16 Woodcross Dr Columbia SC 29212-2331
Fax: (803) 732-4848
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 13663 South Carolina

Profile Details

NPI number 1932216991
LBN Legal business name Moore, Kay L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
Last updated Jul 19th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932216991 NPPES
South Carolina MEDICAID 136631

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