Mrs Kathy Ann Moore, LPN is a
Licensed Practical Nurse based in Winterville, North Carolina. Mrs Kathy Ann Moore is licensed to practice in North Carolina (license number 70547) and her current practice location is
1310 Thomas Langston Rd, Unit 6, Winterville, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(252) 544-1855.
NPI number for Mrs Kathy Ann Moore is 1033455613 and her current mailing address is 1310 Thomas Langston Rd, Unit 6, Winterville, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033455613.
Provider's Profile
Full Name | Mrs Kathy Ann Moore |
---|
Gender | Female |
---|
Speciality | Licensed Practical Nurse |
---|
Location | 1310 Thomas Langston Rd, Winterville, North Carolina |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1033455613
- Provider Enumeration Date: 12/30/2012
- Last Update Date: 12/30/2012
Medical Identifiers
Medical identifiers for Mrs Kathy Ann Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033455613 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 70547 (North Carolina) | 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 Kathy Ann 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 |
Mrs Kathy Ann Moore, LPN 1310 Thomas Langston Rd, Unit 6, Winterville, NC 28590-8364 Ph: (252) 544-1855 | Mrs Kathy Ann Moore, LPN 1310 Thomas Langston Rd, Unit 6, Winterville, NC 28590-8364 Ph: (252) 544-1855 |
Reviews and Comments