Moore, Kala Marie
Moore, Kala Marie is an sole proprietor health care provider with primary practice located at 852 W Kathleen Ave , Coeur D Alene ID 83815-9405. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Other Service Providers / Specialist. Other Service Providers / Specialist is her primary health care specialty. Moore, Kala Marie can be contacted via phone (208) 666-6665.Contact Information
Primary practice address
852 W Kathleen Ave
Coeur D Alene ID 83815-9405
Phone: (208) 666-6665
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | ||
| Other Service Providers / Specialist | 174400000X | MA60183873 | Washington |
Profile Details
| NPI number | 1619278082 |
|---|---|
| LBN Legal business name | Moore, Kala Marie |
| Credentials | LMP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 16th, 2010 |
| Last updated | Jul 22nd, 2020 - about 5 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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