Moore, Kimberly A

Moore, Kimberly A is an individual health care provider with primary practice located at 2701 Hospital Dr , Victoria TX 77901. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Moore, Kimberly A can be contacted via phone (361) 573-6291.

Contact Information

Primary practice address
2701 Hospital Dr Victoria TX 77901
Fax: (361) 576-2434
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X M8851 Texas

Profile Details

NPI number 1588837181
LBN Legal business name Moore, Kimberly A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2008
Last updated Aug 28th, 2018 - about 6 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 1588837181 NPPES
Texas Other 8P8741 TX BCBS
Texas MEDICAID 197148301 TX BCBS
Texas Other P00808584 TX BCBS

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