Moore, Kami Opal

Moore, Kami Opal is an individual health care provider with primary practice located at 1265 S Utica Ave Suite 300, Tulsa OK 74104-4243. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Moore, Kami Opal can be contacted via phone (918) 592-0999.

Contact Information

Primary practice address
1265 S Utica Ave Suite 300 Tulsa OK 74104-4243
Phone: (918) 592-0999
Fax: (918) 392-0341
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X R0075063 Oklahoma

Profile Details

NPI number 1639390768
LBN Legal business name Moore, Kami Opal
Credentials Clinical Nurse Specialist (CNS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2007
Last updated Dec 4th, 2008 - about 16 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 1639390768 NPPES
Oklahoma Other OK700116 MEDICARE PTAN
Oklahoma Other P00637856 MEDICARE PTAN
Oklahoma MEDICAID 200112940A MEDICARE PTAN

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