Moore, Kim Reavis
Moore, Kim Reavis is an sole proprietor health care provider with primary practice located at 3000 Bethesda Pl Ste 701 , Winston Salem NC 27103-3329. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Moore, Kim Reavis can be contacted via phone (336) 399-9764.Contact Information
Primary practice address
3000 Bethesda Pl Ste 701
Winston Salem NC 27103-3329
Phone: (336) 399-9764
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 53 | North Carolina |
Profile Details
NPI number | 1770151110 |
---|---|
LBN Legal business name | Moore, Kim Reavis |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 13th, 2021 |
Last updated | Jun 13th, 2021 - about 3 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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