Provider Demographics
NPI:1366146706
Name:MOORREES, KIMBERLY RENEE HOCKING
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:RENEE HOCKING
Last Name:MOORREES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 PLEASANT RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28805-2622
Mailing Address - Country:US
Mailing Address - Phone:828-301-9180
Mailing Address - Fax:
Practice Address - Street 1:103 APPALACHIAN BLVD
Practice Address - Street 2:
Practice Address - City:ARDEN
Practice Address - State:NC
Practice Address - Zip Code:28704-7715
Practice Address - Country:US
Practice Address - Phone:828-687-7321
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-29
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7201225XG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XG0600XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGerontology