Individual
DR. KEVIN THOMAS MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, MSN, RN
Contact information
Practice address
1 PARK AVE OFC 3-361, NEW YORK, NY 10016-5802
(347) 802-6895
Mailing address
1 PARK AVE OFC 3-361, NEW YORK, NY 10016-5802
(347) 802-6895
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
685106-01
NY
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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