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Kami Opal Moore, CNS
Adult Health Clinical Nurse Specialist in Tulsa, Oklahoma
NPI 1639390768

Kami Opal Moore is an Adult Health Clinical Nurse Specialist based in Tulsa, OK and is specialized in Adult Health. Kami Opal Moore practices in Tulsa, OK and has the professional credentials of CNS. The NPI Number for Kami Opal Moore is 1639390768 and holds a License No. R0075063 (Oklahoma).

The current practice location address for Kami Opal Moore is 1265 S Utica Ave, Tulsa, OK and can be reached out via phone at 918-592-0999 and via fax at 918-392-0341.

Location: 1265 S Utica Ave, Tulsa, OK, 74104-4243
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Provider Profile Details
NPI Number
1639390768
Provider Name
Kami Opal Moore
Credential
CNS
Provider Entity Type
Individual
Gender
Female
Address
1265 S Utica Ave, Tulsa, OK, 74104-4243
Phone Number
918-592-0999
Fax Number
918-392-0341
Provider Enumeration Date
05/02/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
OK700116 01 OK MEDICARE PTAN
P00637856 01 OK MEDICARE RAILROAD
200112940A 05 OK
institution
Provider Business Practice Location Address Details
Address
1265 S Utica Ave
City
State
Zip
74104-4243
Phone Number
918-592-0999
Fax Number
918-392-0341
person
Provider Business Mailing Address Details
Address
1265 S Utica Ave
City
State
Zip
74104-4243
Phone Number
918-592-0999
Fax Number
918-392-0341
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Adult Health
Taxonomy
License No.
R0075063 (Oklahoma)
Definition
Definition to come...
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