Individual
DR. KYLE DOUGLAS MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
923 EMERSON AVE, PARKERSBURG, WV 26104-2526
(304) 428-9355
Mailing address
923 EMERSON AVE, PARKERSBURG, WV 26104-2526
(304) 428-9355
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1040
WV
Other
Enumeration date
10/27/2019
Last updated
10/27/2019
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