Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kaitlyn Virginia Moore

Individual provider Athletic Trainer · NPI 1992212302

Kaitlyn Virginia Moore is an Athletic Trainer in Springfield, Ohio. Licensed in Ohio. Registered with an NPI since 2018.

Licensed in
OH
In the registry since
2018
Specialties on file
2

Practice location Address checks out

600 Bowman Rd
Springfield, OH 45505-1814
Phone: (937) 360-5711
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence UD491708 (OH)
Athletic Trainer Taxonomy 2255A2300X · Licence UD491708 (OH)

Record details

NPI number1992212302
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 8, 2018
Last updated in NPPESJanuary 8, 2018
Mailing address600 Bowman Rd, Springfield, OH 45505-1814

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