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Individual
DR. KENNETH DAVID MOORE
Active
Individual
DR. KENNETH DAVID MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
24165
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000025579
BLUE CROSS
AL
05
—
000025579
—
AL
05
—
009931891
—
AL
05
—
009966070
—
AL
01
—
051503535
BLUE CROSS
AL
05
—
051503535
—
AL
01
—
051503536
BLUE CROSS
AL
01
—
051511207
BLUE CROSS
AL
01
—
051529536
BLUE CROSS
AL
Enumeration date
07/24/2006
Last updated
05/05/2025
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