Individual
KEVIN MOON
Active
Individual
KEVIN MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704279242
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704279242
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704279242
MICHIGAN LICENSE
MI
Enumeration date
03/15/2016
Last updated
05/12/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up