Moore, John B

Moore, John B is an individual health care provider with primary practice located at 20375 W 151St St Suite 370, Olathe KS 66061. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Moore, John B can be contacted via phone (913) 782-0707.

Contact Information

Primary practice address
20375 W 151St St Suite 370 Olathe KS 66061
Phone: (913) 782-0707
Fax: (913) 782-5813
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 0420320 Kansas
Allopathic & Osteopathic Physicians / Surgery of the Hand 2086S0105X 0420320 Kansas

Profile Details

NPI number 1316928229
LBN Legal business name Moore, John B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Aug 3rd, 2011 - about 13 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 1316928229 NPPES
Kansas MEDICAID 100205260A
Kansas Other 563754
Kansas Other 10226021

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