Moore, Kenneth Sheppard

Moore, Kenneth Sheppard is an sole proprietor health care provider with primary practice located at 34800 Bob Wilson Dr , San Diego CA 92134-1098. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Moore, Kenneth Sheppard can be contacted via phone (757) 968-8770.

Contact Information

Primary practice address
34800 Bob Wilson Dr San Diego CA 92134-1098
Phone: (757) 968-8770
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1568963627
LBN Legal business name Moore, Kenneth Sheppard
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 23rd, 2018
Last updated Feb 23rd, 2018 - about 6 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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