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Kimberly Moore
Sports Medicine (Preventive Medicine) Physician in Stephenville, Texas
NPI 1013526201

Kimberly Moore is a Sports Medicine (Preventive Medicine) Physician based in Stephenville, TX and is specialized in Sports Medicine. Kimberly Moore practices in Stephenville, TX. The NPI Number for Kimberly Moore is 1013526201 and holds a License No. AT8208 (Texas).

The current practice location address for Kimberly Moore is 1333 W Washington St, Stephenville, TX and can be reached out via phone at 254-968-9175.

Location: 1333 W Washington St, Stephenville, TX, 76401-1825
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013526201
Provider Name
Kimberly Moore
Credential
Provider Entity Type
Individual
Gender
Female
Address
1333 W Washington St, Stephenville, TX, 76401-1825
Phone Number
254-968-9175
Fax Number
Provider Enumeration Date
07/24/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZGP529006652 01 BLUECROSS BLUESHIELD
institution
Provider Business Practice Location Address Details
Address
1333 W Washington St
City
Stephenville
State
Texas
Zip
76401-4168
Phone Number
254-968-9175
Fax Number
person
Provider Business Mailing Address Details
Address
1333 W Washington St
City
Stephenville
State
Texas
Zip
76401-4168
Phone Number
254-968-9175
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Preventive Medicine
Speciality
Sports Medicine
Taxonomy
2083S0010X
License No.
AT8208 (Texas)
Definition
A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.
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