Kenneth Alan Moon
NPI #1164665907 in Mariposa, California
Provider Information
- NPI Number
- 1164665907
- Entity Type
- Individual
- Name
- Kenneth Alan Moon
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Apr 9, 2009
- Last Updated
- Apr 9, 2009
Practice Location
- Address
- 5037 STROMING RD
- City
- Mariposa
- State
- California
- ZIP Code
- 95338
- Phone
- (209) 966-2000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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