Provider Demographics
NPI:1689017576
Name:MOORE, KIRA (DO)
Entity Type:Individual
Prefix:DR
First Name:KIRA
Middle Name:
Last Name:MOORE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:SAINT PETERS PHYSICIAN ASSOCIATES
Mailing Address - Street 2:59 VERONICA AVE, SUITE 202
Mailing Address - City:SOMSERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873
Mailing Address - Country:US
Mailing Address - Phone:732-828-3300
Mailing Address - Fax:732-937-5739
Practice Address - Street 1:SAINT PETERS PHYSICIAN ASSOCIATES
Practice Address - Street 2:59 VERONICA AVE, SUITE 202
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873
Practice Address - Country:US
Practice Address - Phone:732-828-3300
Practice Address - Fax:732-937-5739
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-10
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MB10570200207V00000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology