Kimberly Moore, is a
Preventive Medicine - Sports Medicine physician based in Stephenville, Texas. Kimberly Moore is licensed to practice in Texas (license number AT8208) and her current practice location is 1333 W Washington St, Stephenville, Texas. She can be reached at her office (for appointments etc.) via phone at
(254) 968-9175.
NPI number for Kimberly Moore is 1013526201 and her current mailing address is 1650 W Lingleville Rd Apt 107, Stephenville, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013526201.
Physician's Profile
| Full Name | Kimberly Moore |
|---|
| Gender | Female |
|---|
| Speciality | Preventive Medicine - Sports Medicine |
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| Location | 1333 W Washington St, Stephenville, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1013526201
- Provider Enumeration Date: 07/24/2020
- Last Update Date: 07/24/2020
Medical Identifiers
Medical identifiers for Kimberly Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1013526201 | NPI | - | NPPES |
| ZGP529006652 | Other | | BLUECROSS BLUESHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2083S0010X | Preventive Medicine - Sports Medicine | AT8208 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Moore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Kimberly Moore, 1650 W Lingleville Rd Apt 107, Stephenville, TX 76401-1825 Ph: (910) 650-4237 | Kimberly Moore, 1333 W Washington St, Stephenville, TX 76401-4168 Ph: (254) 968-9175 |
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