Moore, Kevin Jewayne

Moore, Kevin Jewayne is an individual health care provider with primary practice located at 1485 M 139 , Benton Harbor MI 49022-5711. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Moore, Kevin Jewayne can be contacted via phone (269) 925-0585.

Contact Information

Primary practice address
1485 M 139 Benton Harbor MI 49022-5711
Phone: (269) 925-0585
Fax: (269) 927-1326
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1710551510
LBN Legal business name Moore, Kevin Jewayne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2021
Last updated May 17th, 2021 - about 3 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