IndividualActive
Kristene Moore, FNP-BC
NPI 1417540402 · Adult Medicine Physician · Belton, MO
Provider details
- NPI number
- 1417540402
- Entity type
- Individual
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2012077047 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
105 N Park Dr
Belton, MO 64012-1957
Phone: (816) 694-8983
Approximate (ZIP-level) locationGet directions
Mailing address
105 N Park Dr
Belton, MO 64012-1957
Registry dates
- Enumerated
- 2021-02-19
- Last updated
- 2021-02-19
- Certified
- 2021-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.