Moore, Kenneth Lawrence

Moore, Kenneth Lawrence is an sole proprietor health care provider with primary practice located at 12 Tartan Ridge Rd , Burr Ridge IL 60527-8904. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Moore, Kenneth Lawrence can be contacted via phone (630) 323-1316.

Contact Information

Primary practice address
12 Tartan Ridge Rd Burr Ridge IL 60527-8904
Phone: (630) 323-1316
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 036-053328 Illinois

Profile Details

NPI number 1891899258
LBN Legal business name Moore, Kenneth Lawrence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2006
Last updated Jan 20th, 2016 - about 9 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.

Request for update

Popular Providers