Nikita P Moore, RT
Respiratory Therapist, Registered, General Care in Leavenworth, KS. Individual provider (NPI-1).
NPI number1205744745
StatusActive
Last updated in NPPESAug 27, 2026
Details
- NPI
- 1205744745
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Nikita P Moore
- Credential
- RT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 27, 2026
- Certification date
- Aug 27, 2026
- Last updated
- Aug 27, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2279G1100X | Respiratory Therapist, Registered, General Care | 16-04874 | KS | Yes |
Practice location
4101 S 4th StLeavenworth, KS 66048-5014
Phone 913-963-9639
Mailing address
4101 S 4th StLeavenworth, KS 66048-5014
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