Kala Marie Moore, LMP is a
Specialist based in Coeur D Alene, Idaho. Kala Marie Moore is licensed to practice in Washington (license number MA60183873) and her current practice location is
852 W Kathleen Ave, Coeur D Alene, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 666-6665.
NPI number for Kala Marie Moore is 1619278082 and her current mailing address is 15404 E Springfield Ave, Suite 100, Spokane Valley, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619278082.
Healthcare Provider's Profile
| Full Name | Kala Marie Moore |
|---|
| Gender | Female |
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| Speciality | Specialist |
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| Location | 852 W Kathleen Ave, Coeur D Alene, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619278082
- Provider Enumeration Date: 11/16/2010
- Last Update Date: 07/22/2020
Medical Identifiers
Medical identifiers for Kala Marie Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1619278082 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225700000X | Massage Therapist | (* (Not Available)) | Secondary |
| 174400000X | Specialist | MA60183873 (Washington) | 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. Kala Marie 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 |
Kala Marie Moore, LMP 15404 E Springfield Ave, Suite 100, Spokane Valley, WA 99037 Ph: (509) 892-9800 | Kala Marie Moore, LMP 852 W Kathleen Ave, Coeur D Alene, ID 83815-9405 Ph: (208) 666-6665 |
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