Moore, Kenneth Steven

Moore, Kenneth Steven is an individual health care provider with primary practice located at 10401 West Thunderbird Boulevard , Sun City AZ 85351. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Moore, Kenneth Steven can be contacted via phone (623) 977-7211.

Contact Information

Primary practice address
10401 West Thunderbird Boulevard Sun City AZ 85351
Phone: (623) 977-7211
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD4625 Hawaii
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35466 Arizona
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G36840 California
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2015039936 Missouri

Profile Details

NPI number 1467402800
LBN Legal business name Moore, Kenneth Steven
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Oct 25th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1467402800 NPPES
Arizona MEDICAID 114536

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