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
Phone: (913) 373-2230
Fax: (913) 373-0999
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1174575930 | NPPES |
Kansas | MEDICAID | 100457270A |
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