Moe, Kali Jo

Moe, Kali Jo is an individual health care provider with primary practice located at 1237 E Main St , Carbondale IL 62901-3148. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Moe, Kali Jo can be contacted via phone (618) 457-2281.

Contact Information

Primary practice address
1237 E Main St Carbondale IL 62901-3148
Fax:
Website:

Health care specialties

Profile Details

NPI number 1790238160
LBN Legal business name Moe, Kali Jo
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2016
Last updated Dec 28th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790238160 NPPES
New York MEDICAID 04546549

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