Individual
DR. KEVIN C. MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSC
Contact information
Practice address
1233 LOCUST ST, PHILADELPHIA, PA 19107-5453
(215) 985-4448
(215) 985-4952
Mailing address
1233 LOCUST ST, PHILADELPHIA, PA 19107-5453
(215) 985-4448
(215) 985-4952
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/21/2008
Last updated
11/21/2008
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