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Individual

DR. KEVIN BRIAN MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C..

Contact information

Practice address
1004 BUTLER AVE, NEW CASTLE, PA 16101-4282
(724) 652-1772
(724) 652-0830
Mailing address
716 CUMBERLAND AVE, NEW CASTLE, PA 16101-3439
(724) 652-6780

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC002851L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000988170-0001
PA
01
162843
UNISON
PA
01
1648352
BLUE CROSS BLUE SHIELD
PA
01
V0813B
UPMC
PA
Enumeration date
01/18/2007
Last updated
07/08/2007
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