Moore, Kyle Anthony
Moore, Kyle Anthony is an sole proprietor health care provider with primary practice located at 1313 Cutting Blvd , Richmond CA 94804-2554. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Moore, Kyle Anthony can be contacted via phone (510) 232-0874.Contact Information
Primary practice address
1313 Cutting Blvd
Richmond CA 94804-2554
Phone: (510) 232-0874
Fax: (510) 232-8652
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207RA0401X | CA 043351 | California |
Profile Details
| NPI number | 1568580322 |
|---|---|
| LBN Legal business name | Moore, Kyle Anthony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 27th, 2007 |
| Last updated | Sep 6th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568580322 | NPPES |
| California | MEDICAID | 00433510 |
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