Kanesha Moore, is a
Psychologist based in Memphis, Tennessee. Kanesha Moore is licensed to practice in * (Not Available) (license number ) and her current practice location is
8295 Tournament Dr Ste 150, Memphis, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(866) 563-7772.
NPI number for Kanesha Moore is 1467881961 and her current mailing address is 8295 Tournament Dr Ste 150, Memphis, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1467881961.
Healthcare Provider's Profile
| Full Name | Kanesha Moore |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist |
|---|
| Location | 8295 Tournament Dr Ste 150, Memphis, Tennessee |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1467881961
- Provider Enumeration Date: 11/05/2013
- Last Update Date: 11/05/2013
Medical Identifiers
Medical identifiers for Kanesha Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467881961 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kanesha Moore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kanesha Moore,
8295 Tournament Dr Ste 150,
Memphis, TN 38125-8900
Ph: () - | Kanesha Moore,
8295 Tournament Dr Ste 150,
Memphis, TN 38125-8900
Ph: (866) 563-7772 |
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