Moore, Cynthia Lynne
Moore, Cynthia Lynne is an individual health care provider with primary practice located at 7405 Renner Rd , Shawnee KS 66217-9414. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Moore, Cynthia Lynne can be contacted via phone (913) 588-2200.Contact Information
Primary practice address
7405 Renner Rd
Shawnee KS 66217-9414
Phone: (913) 588-2200
Fax: (913) 588-8423
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 44641 | Kansas |
Profile Details
| NPI number | 1396748752 |
|---|---|
| LBN Legal business name | Moore, Cynthia Lynne |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2005 |
| Last updated | Jan 12th, 2024 - 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 | 1396748752 | NPPES |
| Kansas | MEDICAID | 100454830A |
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