TREVENA MOORE MD
Individual Provider (NPI-1)
Active
Pediatrics, Developmental - Behavioral Pediatrics
Provider Information
- NPI Number
1407893456- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 2000 OLATHE, KANSAS CITY, KS, 661608505
- Phone
- (913) 588-2746
- Fax
- (913) 274-3546
Specialties & Taxonomies
Pediatrics
License: MO #2003012943
Pediatrics, Developmental - Behavioral Pediatrics
Primary License: VI #1299
Pediatrics, Developmental - Behavioral Pediatrics
License: KS #04-40273