Coleen Michele Moore

Individual provider Active NPI Case Manager/Care Coordinator · Pratt, KS

NPI 1366968786 · NPPES record last updated Sep 6, 2026

Key facts

NPI
1366968786
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
108 S Pine St
Pratt, KS 67124-2739
Phone
(620) 786-8826
NPI assigned
Aug 17, 2017
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

108 S Pine St
Pratt, KS 67124-2739

Mailing address

3320 Meadowlark LN
Great Bend, KS 67530-7539
Phone (620) 786-8826

Other providers in Pratt, KS

All providers in Pratt, KS · Case Manager/Care Coordinator in Kansas

Sources for this page

Verify at the official NPI Registry.