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NPI Code Detail

MEDICARE: MRS. KIMBERLEE SUE MOORER M.S.

MEDICARE: MRS. KIMBERLEE SUE MOORER M.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor99024419AIN

General Provider Information

NPI Number : 1528136652
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KIMBERLEE SUE MOORER M.S.
Provider Business Mailing Address
First Line : 5892 E KINDERHOOK RD
Second Line :
City : LEXINGTON
State : IN
Zip : 47138-8311
Country : US
Telephone Number : 812-889-4253
Fax Number :
Provider Business Practice Location Address
First Line : 2530 SANDCREST BLVD
Second Line :
City : COLUMBUS
State : IN
Zip : 47203-3047
Country : US
Telephone Number : 812-372-3177
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. KIMBERLEE SUE MOORER M.S.” Practice Location

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