| Kenna Jane Moore, | |
|
6610 Se Quakervale Rd, Riverton, KS 66770-4185 | |
| (620) 848-2300 | |
| Not Available |
| Full Name | Kenna Jane Moore |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 6610 Se Quakervale Rd, Riverton, Kansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093579450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 04600-T (Kansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kenna Jane Moore, Po Box 550, Riverton, KS 66770-0550 Ph: (620) 848-2300 | Kenna Jane Moore, 6610 Se Quakervale Rd, Riverton, KS 66770-4185 Ph: (620) 848-2300 |
Whitney Nobis, AAPS Counselor Medicare: Not Enrolled in Medicare Practice Location: 6610 Se Quakervale Rd, Riverton, KS 66770 Phone: 620-848-2300 Fax: 620-848-2301 | |
Mark Hoag, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6610 Se Quakervale Rd, Riverton, KS 66770 Phone: 620-848-2300 Fax: 620-848-2301 | |
Alexia Ulrich, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6610 Se Quakervale Rd, Riverton, KS 66770 Phone: 620-848-2300 | |
Mrs. Leslie Childers, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6610 Se Quakervale Rd, Riverton, KS 66770 Phone: 620-848-2300 Fax: 620-848-2301 | |
Ruth Weitzel, CADCI Counselor Medicare: Not Enrolled in Medicare Practice Location: 6610 Se Quakervale Rd, Riverton, KS 66770 Phone: 620-848-2300 Fax: 620-848-2301 | |
Fred Gammon, T-LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6610 Se Quakervale Rd, Riverton, KS 66770 Phone: 620-848-2300 Fax: 620-848-2301 |