| Doctor Name: | DR. KIA LYNN SWAN-MOORE |
| NPI Number: | 1699890061 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | |
| Business Practice Address: | 325 Madison Ave Wood River, IL - 620952010 |
| Business Phone Number: | 6182515202 |
| Business Fax Number: | 6182515118 |
| Mailing Address: | 325 Madison Ave, WOOD RIVER |
| State: | IL |
| Postal Code: | 620952010 |
| Phone Number: | 6182515202 |
| Fax Number: | 6182515118 |
| NPI Enumeration Date: | 03/21/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2083P0500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Preventive Medicine |
| Taxonomy Specialization: | Preventive Medicine/Occupational Environmental Medicine |
| Taxonomy Definition: | A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |