Mrs Kathleen Moore, RN, CDE - Registered Nurse in Salt Lake City, UT

Mrs Kathleen Moore, RN, CDE is a Registered Nurse - Diabetes Educator based in Salt Lake City, Utah. Mrs Kathleen Moore is licensed to practice in Utah (license number 220464-3102) and her current practice location is 500 Foothill Blvd, Salt Lake City, Utah. She can be reached at her office (for appointments etc.) via phone at (801) 582-1565.

NPI number for Mrs Kathleen Moore is 1508103698 and her current mailing address is 500 Foothill Blvd, Salt Lake City, Utah. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508103698.

Contact Information

Mrs Kathleen Moore, RN, CDE
500 Foothill Blvd,
Salt Lake City, UT 84148-0001
(801) 582-1565
(801) 584-1576

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Provider's Profile

Full NameMrs Kathleen Moore
GenderFemale
SpecialityRegistered Nurse - Diabetes Educator
Location500 Foothill Blvd, Salt Lake City, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1508103698
  • Provider Enumeration Date: 01/09/2013
  • Last Update Date: 01/09/2013

Medical Identifiers

Medical identifiers for Mrs Kathleen Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508103698NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WD0400XRegistered Nurse - Diabetes Educator 220464-3102 (Utah)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. Mrs Kathleen 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 AddressPractice Location Address
Mrs Kathleen Moore, RN, CDE
500 Foothill Blvd,
Salt Lake City, UT 84148-0001

Ph: (801) 582-1565
Mrs Kathleen Moore, RN, CDE
500 Foothill Blvd,
Salt Lake City, UT 84148-0001

Ph: (801) 582-1565

Reviews and Comments


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