Individual
MR. KEVIN DWAYNE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
500 W AQUA AVE, COEUR D ALENE, ID 83815-7764
(208) 762-1122
Mailing address
500 W AQUA AVE, COEUR D ALENE, ID 83815-7764
(208) 762-1122
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA344
ID
Other
Enumeration date
05/27/2008
Last updated
05/27/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us