Doctor Name: | MRS. KASIE ALISON MOORE |
NPI Number: | 1881067213 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC, CEN, CCRN |
License Number: | 19855 |
Business Practice Address: | 1000 Medical Center Dr Hardeeville, SC - 299273446 |
Business Phone Number: | 8437848080 |
Business Fax Number: | |
Mailing Address: | 52 Gadwall Dr W, BEAUFORT |
State: | SC |
Postal Code: | 299071837 |
Phone Number: | 6785921863 |
Fax Number: | |
NPI Enumeration Date: | 11/06/2015 |
NPI Last Update Date: | 11/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 19855 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |