Kathleen B. Moore, Od

NPI #1144982315 in Centreville, Virginia

Provider Information

NPI Number: 1144982315
Entity Type: Organization
Organization Name: Kathleen B. Moore, Od
Primary Specialty: Optometrist
Enumeration Date: Oct 6, 2021
Last Updated: Oct 6, 2021

Practice Location

Address: 13880 BRADDOCK RD STE 110
City: Centreville
State: Virginia
ZIP Code: 20121-2460
Phone: (703) 830-2020

Authorized Official

Name: KATHLEEN BRADY MOORE, OD
Title: OPTOMETRIST
Phone: (703) 830-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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