Moore, Kim Ann
Moore, Kim Ann is an individual health care provider with primary practice located at 2006 Hwy 35 , Spring Lake NJ 07762-2543. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Moore, Kim Ann can be contacted via phone (732) 282-0719.Contact Information
Primary practice address
2006 Hwy 35
Spring Lake NJ 07762-2543
Phone: (732) 282-0719
Fax: (732) 282-9069
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 040519 | New York |
| Pharmacy Service Providers / Pharmacist | 183500000X | 28RI02876300 | New Jersey |
Profile Details
| NPI number | 1801064423 |
|---|---|
| LBN Legal business name | Moore, Kim Ann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2008 |
| Last updated | Oct 31st, 2013 - about 11 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 | 1801064423 | NPPES |
| New York | MEDICAID | 040519 |
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