Kailey Lynn Moore
NPI #1013402809 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1013402809
- Entity Type
- Individual
- Name
- Kailey Lynn Moore
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Enumeration Date
- Jun 25, 2018
- Last Updated
- Jun 25, 2018
Practice Location
- Address
- 376 WEST 18TH STREET
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83402
- Phone
- (208) 681-8233
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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