BRIAN LEE MOORE

WICHITA, KS
NPI1013961804
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: KS  54974)
Enumeration Date2006-05-19
Last Update Date2007-07-08
Business Address
Mr. BRIAN LEE MOORE CRNA
6615 BRIARWOOD CIR
WICHITA, KS 67212-2986
Phone number: 316-729-4474
Mailing Address
Mr. BRIAN LEE MOORE CRNA
6615 BRIARWOOD CIR
WICHITA, KS 67212-2986
Phone number: 316-729-4474
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