Individual
DR. KENDALL MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1 PINCKNEY BLVD, BEAUFORT, SC 29902-6122
(843) 228-5611
Mailing address
1 PINCKNEY BLVD, BEAUFORT, SC 29902-6122
(843) 228-5611
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810006320
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/06/2018
Last updated
09/15/2023
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