Moore, Kristin Emily
Moore, Kristin Emily is an individual health care provider with primary practice located at 8120 Rourk St , Myrtle Beach SC 29572-4127. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Moore, Kristin Emily can be contacted via phone (843) 449-1438.Contact Information
Primary practice address
8120 Rourk St
Myrtle Beach SC 29572-4127
Phone: (843) 449-1438
Fax: (843) 286-1349
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 19066 | South Carolina |
Profile Details
| NPI number | 1154387801 |
|---|---|
| LBN Legal business name | Moore, Kristin Emily |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 21st, 2006 |
| Last updated | Jul 29th, 2015 - about 9 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 | 1154387801 | NPPES |
| South Carolina | Other | 570783896 | FED TAX ID |
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