Male or Other

Kevin R. Moore

Case Manager/Care Coordinator in Coral Springs, FL(View on Map)

Full Name

Kevin R Moore

NPI Number

1619040037

NPI Type

Individual Provider

Gender

Male

Enumeration Date

11/15/2006

Specialties

(Taxonomies)

Code

171M00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

10528 NW 57TH CT
10528 NW 57TH CT

City

Coral Springs
Coral Springs

State

FL
FL

Postal Code

33076-2810
33076-2810

Country

US
US

Telephone Number

(954) 825-8302
(954) 825-8302

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/09/2007

Provider Address

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