IndividualActive
Annette Moore, MD
NPI 1609818467 · Hematology & Oncology Physician · Kokomo, IN
Provider details
- NPI number
- 1609818467
- Entity type
- Individual
- Primary specialty
- Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 01056265A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3500 S Lafountain St
Kokomo, IN 46902-3803
Phone: (765) 453-8571
Fax: (765) 453-8637
Approximate (ZIP-level) locationGet directions
Mailing address
6626 E 75th St
Indianapolis, IN 46250-2890
Registry dates
- Enumerated
- 2006-06-13
- Last updated
- 2023-11-27
- Certified
- 2020-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.