| Kyjana Dominique Moore, LPN | |
|
1540 Country Club Rd, Sherwood, AR 72120-5095 | |
| (501) 753-5459 | |
| Not Available |
| Full Name | Kyjana Dominique Moore |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 1540 Country Club Rd, Sherwood, Arkansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770110462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 121607 (Arkansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kyjana Dominique Moore, LPN 1540 Country Club Rd, Sherwood, AR 72120-5095 Ph: (501) 753-5459 | Kyjana Dominique Moore, LPN 1540 Country Club Rd, Sherwood, AR 72120-5095 Ph: (501) 753-5459 |
Tracy Nedbalek, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1540 Country Club Rd, Sherwood, AR 72120 Phone: 501-753-5459 Fax: 501-753-5463 | |
Lanisha Renee Swopes, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1540 Country Club Rd, Sherwood, AR 72120 Phone: 501-753-5459 Fax: 501-753-5463 | |
Ms. Paula Kaye Doody-boatright, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 207 Fred Rains Dr, Sherwood, AR 72120 Phone: 501-834-0217 Fax: 501-833-0957 | |
Majenta A Wise, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1540 Country Club Rd, Sherwood, AR 72120 Phone: 501-753-5459 |