Moore, Katherine Ainsley
Moore, Katherine Ainsley is an individual health care provider with primary practice located at 4564 S Harvard Ave Ste B , Tulsa OK 74135-2918. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Education, which is considered as her primary health care specialty. Moore, Katherine Ainsley can be contacted via phone (918) 508-2220.Contact Information
Primary practice address
4564 S Harvard Ave Ste B
Tulsa OK 74135-2918
Phone: (918) 508-2220
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutrition, Education | 133NN1002X | 1220801859 |
Profile Details
| NPI number | 1235875196 |
|---|---|
| LBN Legal business name | Moore, Katherine Ainsley |
| Credentials | CNC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2022 |
| Last updated | May 17th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235875196 | NPPES |
| Other | T084173163 | INSURANCE |
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