Kenneth Moore

NPI #1215030465 in Rocky Mount, North Carolina

Provider Information

NPI Number: 1215030465
Entity Type: Individual
Name: Kenneth Moore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medicine
Enumeration Date: Sep 6, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 2460 CURTIS ELLIS DR
City: Rocky Mount
State: North Carolina
ZIP Code: 27804-2237
Phone: (252) 443-8172

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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