Moore, Kristen

Moore, Kristen is an individual health care provider with primary practice located at 338 Monterey St , Salinas CA 93901-3411. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Moore, Kristen can be contacted via phone (831) 424-6655.

Contact Information

Primary practice address
338 Monterey St Salinas CA 93901-3411
Fax: (831) 424-9717
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 27-07 California

Profile Details

NPI number 1316319866
LBN Legal business name Moore, Kristen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2015
Last updated Oct 23rd, 2015 - about 11 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 1316319866 NPPES
California MEDICAID HDC70035F

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