Kala Marie Moore, LMP is a
Specialist based in Coeur D Alene, Idaho. Kala Marie Moore is licensed to practice in Washington (license number MA60183873) and her current practice location is
852 W Kathleen Ave, Coeur D Alene, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 666-6665.
NPI number for Kala Marie Moore is 1619278082 and her current mailing address is 15404 E Springfield Ave, Suite 100, Spokane Valley, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619278082.
Healthcare Provider's Profile
Full Name | Kala Marie Moore |
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Gender | Female |
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Speciality | Specialist |
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Location | 852 W Kathleen Ave, Coeur D Alene, Idaho |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619278082
- Provider Enumeration Date: 11/16/2010
- Last Update Date: 07/22/2020
Medical Identifiers
Medical identifiers for Kala Marie Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619278082 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | (* (Not Available)) | Secondary |
174400000X | Specialist | MA60183873 (Washington) | Primary |
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. Kala Marie 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 |
Kala Marie Moore, LMP 15404 E Springfield Ave, Suite 100, Spokane Valley, WA 99037 Ph: (509) 892-9800 | Kala Marie Moore, LMP 852 W Kathleen Ave, Coeur D Alene, ID 83815-9405 Ph: (208) 666-6665 |
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