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

Kim Yvette Moore

Individual provider Licensed Practical Nurse · NPI 1508546417

Kim Yvette Moore is a Licensed Practical Nurse in Mishawaka, Indiana. Licensed in Indiana. Registered with an NPI since 2023.

Licensed in
IN
In the registry since
2023

Practice location Address checks out

1540 Trinity Pl
Mishawaka, IN 46545-5006
Phone: (574) 272-9000
Fax: (574) 272-9295
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 27052204A (IN)

Record details

NPI number1508546417
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 25, 2023
Last updated in NPPESJuly 25, 2023
Certification dateJuly 25, 2023
Mailing address1540 Trinity Pl, Mishawaka, IN 46545-5006

Other providers in Mishawaka