Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Timothy Wayne Moore

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417738394

Timothy Wayne Moore is a Student in an Organized Health Care Education/Training Program in Kansas City, Missouri. Works from 2 locations. Licensed in Missouri.

Licensed in
MO
In the registry since
2023

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Kansas City, MO

Additional practice locations (1)

  • 1111 W 17th St, Tulsa, OK 74107-1886 — (918) 561-1232

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (MO)

Record details

NPI number1417738394
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 9, 2023
Last updated in NPPESMarch 30, 2025
Certification dateMarch 30, 2025

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