NPI 1063370757 · live from the CMS NPI Registry
Shelby Kay Moore, RN
Registered Nurse, General Practice in Wichita, KS. National Provider Identifier 1063370757, active.
NPI record
| NPI | 1063370757 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, General Practice 163WG0000X |
| Practice location | 707 N Emporia St, Wichita, KS 67214 |
| Practice phone | 207-522-8334 |
| Mailing address | 1608 W 35th St S, Wichita, KS 67217 |
| Enumerated | January 12, 2026 |
| Last updated | January 12, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, General Practice primary | 163WG0000X | 14-165233-032 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.