Kenneth Moore

NPI #1942329271 in Youngstown, Ohio

Provider Information

NPI Number: 1942329271
Entity Type: Individual
Name: Kenneth Moore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Mar 28, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 310 CHURCHILL HUBBARD RD
Address 2: SUITE A
City: Youngstown
State: Ohio
ZIP Code: 44505-1371
Phone: (330) 759-3040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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