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PATRICK DANIEL MOORE MOORE FOOT CLINIC NPI 1396998134


NPI Information

NPI: 1396998134
Provider Name: PATRICK DANIEL MOORE MOORE FOOT CLINIC

Doing Business As: MOORE FOOT CLINIC

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
3811 29TH AVE
STE 3
KEARNEY, NE
ZIP 68845
Phone: (308) 237-2621
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PATRICK DANIEL MOORE MOORE FOOT CLINIC is a foot and ankle surgery podiatrist in Kearney, NE. PATRICK DANIEL MOORE MOORE FOOT CLINIC NPI is 1396998134. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Moore Foot Clinic.

The provider's business location address is:

3811 29TH AVE
STE 3
KEARNEY, NE
ZIP 68845-280
Phone: (308) 237-2621
Fax: (308) 237-2023

The provider's authorized official is Patrick Daniel Moore .
The authorized official title is Podiatrist.owner and has the following contact phone number (308) 237-2621.

The enumeration date for this NPI number is 10/24/2008 and was last updated on 11/14/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle Surgery265NEBRASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11558321505OTHERINDIVIDUAL NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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