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Cody Moore
Student in an Organized Health Care Education/Training Program in Overland Park, Kansas
NPI 1154023851

Cody Moore is a Student in an Organized Health Care Education/Training Program based in Overland Park, KS. Cody Moore practices in Overland Park, KS. The NPI Number for Cody Moore is 1154023851 and holds a License No. (Kansas).

The current practice location address for Cody Moore is 12200 W 106Th St Ste 325, Overland Park, KS and can be reached out via phone at 913-498-7004.

Location: 12200 W 106Th St Ste 325, Overland Park, KS, 66215-2381
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154023851
Provider Name
Cody Moore
Credential
Provider Entity Type
Individual
Gender
Male
Address
12200 W 106Th St Ste 325, Overland Park, KS, 66215-2381
Phone Number
913-498-7004
Fax Number
Provider Enumeration Date
03/20/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12200 W 106Th St Ste 325
City
Overland Park
State
Kansas
Zip
66215-2381
Phone Number
913-498-7004
Fax Number
person
Provider Business Mailing Address Details
Address
12200 W 106Th St Ste 325
City
Overland Park
State
Kansas
Zip
66215-2381
Phone Number
913-498-7004
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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