Individual
KEVIN THOMAS MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 712-2000
Mailing address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN324192
GA
Other
Enumeration date
01/24/2026
Last updated
03/08/2026
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