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

MS. Kathleen Diane Moore

Individual provider Community Health Worker · NPI 1457019903

MS. Kathleen Diane Moore is a Community Health Worker in Fairbanks, Alaska. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021
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Practice location Address checks out

1825 Marika Rd
Fairbanks, AK 99709-5521
Phone: (907) 474-0890
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X

Record details

NPI number1457019903
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 2, 2021
Last updated in NPPESDecember 2, 2021
Certification dateDecember 1, 2021

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