Individual
MR. KEVIN P. MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCMFT
Contact information
Practice address
7200 W 13TH ST N STE 9, WICHITA, KS 67212-2968
(316) 721-8118
(316) 721-8139
Mailing address
7200 W 13TH ST N STE 9, WICHITA, KS 67212-2968
(316) 721-8118
(316) 721-8139
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
338
KS
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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