Moore, Paul Dean

Moore, Paul Dean is an individual health care provider with primary practice located at 7840 W 165Th St Ste 210 , Overland Park KS 66223. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Moore, Paul Dean can be contacted via phone (913) 373-2230.

Contact Information

Primary practice address
7840 W 165Th St Ste 210 Overland Park KS 66223
Fax: (913) 373-0999
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0430003 Kansas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0430003 Kansas

Profile Details

NPI number 1174575930
LBN Legal business name Moore, Paul Dean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jun 27th, 2018 - about 7 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 1174575930 NPPES
Kansas MEDICAID 100457270A

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