Moore, Mary Kathleen
Moore, Mary Kathleen is an sole proprietor health care provider with primary practice located at 100 S Bliss Ave , Tahlequah OK 74464-2512. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as her primary health care specialty. Moore, Mary Kathleen can be contacted via phone (918) 458-3104.Contact Information
Primary practice address
100 S Bliss Ave
Tahlequah OK 74464-2512
Phone: (918) 458-3104
Fax: (918) 458-3580
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 3976 | Oklahoma |
Profile Details
| NPI number | 1902837776 |
|---|---|
| LBN Legal business name | Moore, Mary Kathleen |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 6th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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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