Individual
DR. KEVIN DALE MOORE
Active
Individual
DR. KEVIN DALE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
28200
KY
2084P0800X
Psychiatry Physician
Primary
0101255019
VA
2084P0800X
Psychiatry Physician
2014-01019
NC
2084P0800X
Psychiatry Physician
28200
KY
2084P0802X
Addiction Psychiatry Physician
28200
KY
Other
Enumeration date
01/09/2006
Last updated
01/23/2026
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