Moore, Kenzie Jamal

Moore, Kenzie Jamal is an sole proprietor health care provider with primary practice located at 5954 Edgemar Ave , Los Angeles CA 90043-3452. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Moore, Kenzie Jamal can be contacted via phone (323) 559-1541.

Contact Information

Primary practice address
5954 Edgemar Ave Los Angeles CA 90043-3452
Phone: (323) 559-1541
Fax:
Website:
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Health care specialties

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

Profile Details

NPI number 1932542636
LBN Legal business name Moore, Kenzie Jamal
Credentials IDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2013
Last updated Apr 11th, 2013 - about 11 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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