Moore, Kristen Nicole
Moore, Kristen Nicole is an individual health care provider with primary practice located at 710 Genesis Blvd , Bridgeport WV 26330-9668. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Moore, Kristen Nicole can be contacted via phone (304) 808-6065.Contact Information
Primary practice address
710 Genesis Blvd
Bridgeport WV 26330-9668
Phone: (304) 808-6065
Fax: (304) 808-6067
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 23799 | West Virginia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 23799 | West Virginia |
Profile Details
| NPI number | 1346447943 |
|---|---|
| LBN Legal business name | Moore, Kristen Nicole |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2007 |
| Last updated | Apr 15th, 2022 - about 4 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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