Katie Moore, DC
Individual provider Active NPI Chiropractor · Carrollton, MO
NPI 1992576243 · NPPES record last updated Jan 15, 2024
Key facts
- NPI
- 1992576243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2024000508 (MO)
- Practice address
- 211 N Mason St
Carrollton, MO 64633-2160 - Phone
- (816) 376-0049
- NPI assigned
- Jan 15, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2024000508 | MO | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2024000508 | MO | Yes |
Addresses
Primary practice location
211 N Mason St
Carrollton, MO 64633-2160
Mailing address
211 N Mason St
Carrollton, MO 64633-2160
Phone (816) 376-0049
Other providers in Carrollton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.