Moody, Kenneth

Moody, Kenneth is an sole proprietor health care provider with primary practice located at 1043 Aberdeen Rd , Hampton VA 23666-4803. He recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as his primary health care specialty. Moody, Kenneth can be contacted via phone (757) 597-1453.

Contact Information

Primary practice address
1043 Aberdeen Rd Hampton VA 23666-4803
Phone: (757) 597-1453
Fax: (757) 838-7663
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X 2599 Virginia

Profile Details

NPI number 1639572068
LBN Legal business name Moody, Kenneth
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 30th, 2014
Last updated Sep 30th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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