Kyle M Moore

Primary specialty

ContractorTaxonomy code 171W00000X

License

2740103 Issued in AZ

Practice address

3202 E Bellevue St Apt 34
Tucson, AZ 85716-3952

Phone

(520) 390-0142

NPI assigned

Mar 26, 2011

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1301097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301097600000",
    "number": "1992004147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857031101",
            "telephone_number": "520-390-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3202 E BELLEVUE ST APT 34",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857163952",
            "telephone_number": "520-390-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KYLE",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-26",
        "last_updated": "2011-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "AZ",
            "license": "2740103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristi A Moore, AU.D.
• Frances Lee Moore, MD
• Heather Moore, LASAC
• James Knoble Moore Jr., BA
• Jillian C Moore, LMT
• Laquisha Moore, PHD, BCBA, LBA
• Laura Beth Moore, OTR
• Lauren E Moore
• Margo Moore
• Marilyn K Moore, PHD

• Contractor in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Contractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.