Individual
DR. JEFFREY 'KENT' MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2925 W WALNUT ST, ROGERS, AR 72756-0338
(479) 636-6609
Mailing address
2925 W WALNUT ST, ROGERS, AR 72756-0338
(479) 636-6609
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1198
AR
Other
Enumeration date
06/30/2006
Last updated
07/08/2007
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