Individual
DR. KEVIN JOEL MOORE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3420 ELMORE AVE, DAVENPORT, IA 52807-2594
(563) 344-6060
(563) 344-6061
Mailing address
2260 HIGHWAY 30, GRAND MOUND, IA 52751-9509
(563) 210-2839
(563) 344-6060
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
AO6100
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1210096
—
IA
Enumeration date
05/13/2006
Last updated
07/08/2007
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