Moore, Kristin

Moore, Kristin is an individual health care provider with primary practice located at 6035 Fairview Rd , Charlotte NC 28210-3256. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, Speech, Language and Hearing Service Providers / Audiologist. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Moore, Kristin can be contacted via phone (704) 295-3300.

Contact Information

Primary practice address
6035 Fairview Rd Charlotte NC 28210-3256
Phone: (704) 295-3300
Fax: (704) 295-3468
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 934 North Carolina
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 4805 North Carolina

Profile Details

NPI number 1528230778
LBN Legal business name Moore, Kristin
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2008
Last updated Jul 30th, 2012 - about 12 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 1528230778 NPPES
South Carolina MEDICAID SAN080
South Carolina Other 9195272
South Carolina Other 1628V
South Carolina MEDICAID 7413387
South Carolina Other 30106724
South Carolina Other 6798431

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