| Kim Yvette Moore, | |
|
1540 Trinity Pl, Mishawaka, IN 46545-5006 | |
| (574) 272-9000 | |
| (574) 272-9295 |
| Full Name | Kim Yvette Moore |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 1540 Trinity Pl, Mishawaka, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508546417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 27052204A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kim Yvette Moore, 1540 Trinity Pl, Mishawaka, IN 46545-5006 Ph: (574) 272-9000 | Kim Yvette Moore, 1540 Trinity Pl, Mishawaka, IN 46545-5006 Ph: (574) 272-9000 |
Tanisha Renee Saunders, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1540 Trinity Pl, Mishawaka, IN 46545 Phone: 574-277-9338 | |
Acacia Nichole Teel, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1540 Trinity Pl, Mishawaka, IN 46545 Phone: 574-272-9000 | |
Christine Wainwright, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1540 Trinity Pl, Mishawaka, IN 46545 Phone: 574-272-9000 Fax: 574-272-9295 | |
Jacquelyn Marie Rice, HIS, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 130 Roys Dr, Mishawaka, IN 46544 Phone: 574-387-4215 | |
Ashly A Blea, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1540 Trinity Pl, Mishawaka, IN 46545 Phone: 574-272-9000 | |
Jodi Lynn Martin, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1540 Trinity Pl, Mishawaka, IN 46545 Phone: 574-272-9000 Fax: 574-272-9290 |