Individual
KEVIN A. MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2449 HOSPITAL DR STE 440, BOSSIER CITY, LA 71111-1918
(318) 212-7288
Mailing address
2449 HOSPITAL DR STE 440, BOSSIER CITY, LA 71111-1918
(318) 212-7288
(318) 212-7295
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
306537
LA
Other
Enumeration date
04/14/2015
Last updated
09/03/2021
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