Individual
DR. J KENNETH MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
707 SUNSET ST, DENTON, TX 76201-2668
(940) 383-9399
(940) 566-8630
Mailing address
707 SUNSET ST, DENTON, TX 76201-2668
(940) 383-9399
(940) 566-8630
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5766
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
088445401
—
TX
01
—
8S3560
BCBS ID NUMBER
TX
Enumeration date
01/20/2006
Last updated
04/25/2008
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