Kaitlyn Virginia Moore

NPI #1992212302 in Springfield, Ohio

Provider Information

NPI Number: 1992212302
Entity Type: Individual
Name: Kaitlyn Virginia Moore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jan 8, 2018
Last Updated: Jan 8, 2018

Practice Location

Address: 600 BOWMAN RD
City: Springfield
State: Ohio
ZIP Code: 45505-1814
Phone: (937) 360-5711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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