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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215030465 NPPES
North Carolina MEDICAID 89135T6

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