Moore, Kimberly
Moore, Kimberly is an individual health care provider with primary practice located at 5105 N Timothy Way , Muncie IN 47304-6196. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Moore, Kimberly can be contacted via phone (765) 215-4607.Contact Information
Primary practice address
5105 N Timothy Way
Muncie IN 47304-6196
Phone: (765) 215-4607
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 05007366A | Indiana |
Profile Details
| NPI number | 1093189086 |
|---|---|
| LBN Legal business name | Moore, Kimberly |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2015 |
| Last updated | Apr 23rd, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093189086 | NPPES |
| Indiana | Other | 05007366A | PHYSICAL THERAPY LICENSURE |
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