Mrs Katessa Nicole Moore, MS in Fort Smith, AR - Speech-Language Pathologist

Mrs Katessa Nicole Moore, MS is a Speech-language Pathologist based in Fort Smith, Arkansas. Mrs Katessa Nicole Moore is licensed to practice in Arkansas (license number P7994) and her current practice location is 7304 Red Pine Dr, Fort Smith, Arkansas. She can be reached at her office (for appointments etc.) via phone at (479) 518-0692.

NPI number for Mrs Katessa Nicole Moore is 1134247893 and her current mailing address is 7304 Red Pine Dr, Fort Smith, Arkansas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134247893.

Contact Information

	Mrs Katessa Nicole Moore, MS
	7304 Red Pine Dr, Fort Smith, AR 72916-8805
	(479) 518-0692
	Not Available

Healthcare Provider's Profile

Full Name	Mrs Katessa Nicole Moore
Gender	Female
Speciality	Speech-language Pathologist
Location	7304 Red Pine Dr, Fort Smith, Arkansas
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1134247893
Provider Enumeration Date: 03/27/2007
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mrs Katessa Nicole Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134247893	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	P7994 (Arkansas)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Katessa Nicole Moore is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Katessa Nicole Moore, MS 7304 Red Pine Dr, Fort Smith, AR 72916-8805 Ph: (479) 518-0692	Mrs Katessa Nicole Moore, MS 7304 Red Pine Dr, Fort Smith, AR 72916-8805 Ph: (479) 518-0692

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Mrs Katessa Nicole Moore, MS - Speech-Language Pathologist in Fort Smith, AR