Kaitlyn Andrea Moore, OD
Optometrist in Eagle River, AK. Individual provider (NPI-1).
NPI number1316620552
StatusActive
Last updated in NPPESAug 14, 2023
Details
- NPI
- 1316620552
- Entity type
- Individual (NPI-1)
- Name
- Kaitlyn Andrea Moore
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 14, 2023
- Certification date
- Aug 12, 2023
- Last updated
- Aug 14, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 212947 | AK | Yes |
Practice location
10928 Eagle River RdEagle River, AK 99577-8078
Phone 907-694-2020
Mailing address
10676 Wilton RdElk Grove, CA 95624-1419
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All 11 Optometrist providers in Eagle River · All 934 providers in Eagle River
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