MR. Kenneth Moore
NPI #1134490766 in Saint Cloud, Florida
Provider Information
- NPI Number
- 1134490766
- Entity Type
- Individual
- Name
- MR. Kenneth Moore
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jan 12, 2012
- Last Updated
- Jan 12, 2012
Practice Location
- Address
- 751 ORANGE AVE
- City
- Saint Cloud
- State
- Florida
- ZIP Code
- 34769-3063
- Phone
- (407) 967-7128
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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