Moore, Kenneth
Moore, Kenneth is an individual health care provider with primary practice located at 2460 Curtis Ellis Dr , Rocky Mount NC 27804-2237. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Moore, Kenneth can be contacted via phone (252) 443-8172.Contact Information
Primary practice address
2460 Curtis Ellis Dr
Rocky Mount NC 27804-2237
Phone: (252) 443-8172
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 9800098 | North Carolina |
Profile Details
| NPI number | 1215030465 |
|---|---|
| LBN Legal business name | Moore, Kenneth |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 6th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215030465 | NPPES |
| North Carolina | MEDICAID | 89135T6 |
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