Timothy Wayne Moore
Timothy Wayne Moore is a Student in an Organized Health Care Education/Training Program in Kansas City, Missouri. Works from 2 locations. Licensed in Missouri.
- Licensed in
- MO
- In the registry since
- 2023
Practice location Address checks out
7900 Lees Summit RdKansas City, MO 64139-1236
Phone: (816) 404-4862
Fax: (816) 404-7716
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1111 W 17th St, Tulsa, OK 74107-1886 — (918) 561-1232
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X (MO) |
|---|
Record details
| NPI number | 1417738394 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 9, 2023 |
| Last updated in NPPES | March 30, 2025 |
| Certification date | March 30, 2025 |
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