Individual
JOHN KENNETH MORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4895 RIVERBEND RD, SUITE A, BOULDER, CO 80301-2640
(720) 279-9098
(720) 540-4250
Mailing address
3712 WOODMONT LN UNIT B, NASHVILLE, TN 37215-1714
(615) 509-0584
Taxonomy
Speciality
Code
Description
License number
State
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
42465
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100048410
—
KY
01
—
K167432
MEDICARE
KY
Enumeration date
08/12/2006
Last updated
07/24/2024
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