Kathleen Moore, RN, CDE
Registered Nurse, Diabetes Educator in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1508103698
StatusActive
Last updated in NPPESJan 9, 2013
Details
- NPI
- 1508103698
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Kathleen Moore
- Credential
- RN, CDE
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 9, 2013
- Last updated
- Jan 9, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WD0400X | Registered Nurse, Diabetes Educator | 220464-3102 | UT | Yes |
Practice location
500 Foothill BlvdSalt Lake City, UT 84148-0001
Phone 801-582-1565 · Fax 801-584-1576
Mailing address
500 Foothill BlvdSalt Lake City, UT 84148-0001
Phone 801-582-1565 · Fax 801-584-1576
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