Kevin Phillip Moore
NPI #1265180871 in Binghamton, New York
Provider Information
- NPI Number
- 1265180871
- Entity Type
- Individual
- Name
- Kevin Phillip Moore
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Mar 13, 2022
- Last Updated
- Jul 20, 2022
Practice Location
- Address
- 169 RIVERSIDE DR
- City
- Binghamton
- State
- New York
- ZIP Code
- 13905-4246
- Phone
- (607) 798-5231
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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