Individual
KEVIN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
119 19TH ST, SUITE 106, WEST DES MOINES, IA 50265-4226
(515) 226-0112
(515) 226-0208
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 226-0112
(515) 226-0208
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD-25520
IA
Other
Enumeration date
08/01/2006
Last updated
07/22/2016
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