Jennifer Kay Moore, M.S.

NPI #1093010654 in Guthrie, Oklahoma

Provider Information

NPI Number: 1093010654
Entity Type: Individual
Name: Jennifer Kay Moore, M.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: M.S.
Enumeration Date: Jan 12, 2011
Last Updated: Jan 12, 2011

Practice Location

Address: 308 PENNY CIR
City: Guthrie
State: Oklahoma
ZIP Code: 73044-9272
Phone: (405) 657-9265

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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