Individual
KEVIN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 MATTHEW ST, MARIETTA, OH 45750-1635
(740) 568-5427
(740) 376-5073
Mailing address
11490 SPRINGFIELD PIKE, CINCINNATI, OH 45246-3524
(513) 672-3309
(513) 672-3323
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35064203
OH
Other
Enumeration date
06/28/2005
Last updated
02/02/2022
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