Moore, Kisuk K

Moore, Kisuk K is an individual health care provider with primary practice located at 401 Carpenter Rd , Fort Myer VA 22211-1009. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Moore, Kisuk K can be contacted via phone (703) 696-3629.

Contact Information

Primary practice address
401 Carpenter Rd Fort Myer VA 22211-1009
Phone: (703) 696-3629
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 0001120941 Virginia

Profile Details

NPI number 1376517565
LBN Legal business name Moore, Kisuk K
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Jul 8th, 2007 - about 17 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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