Individual
DR. KENNETH DAVID MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
805 SAINT VINCENTS DR STE 100, BIRMINGHAM, AL 35205-1638
(205) 939-3699
(205) 484-2585
Mailing address
805 SAINT VINCENTS DR STE 100, BIRMINGHAM, AL 35205-1638
(205) 939-3699
(205) 484-2585
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
24165
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000025579
BLUE CROSS
AL
05
—
000025579
—
AL
05
—
009931891
—
AL
05
—
009966070
—
AL
01
—
051503535
BLUE CROSS
AL
05
—
051503535
—
AL
01
—
051503536
BLUE CROSS
AL
01
—
051511207
BLUE CROSS
AL
01
—
051529536
BLUE CROSS
AL
Enumeration date
07/24/2006
Last updated
05/05/2025
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