Individual
DR. KERRY E MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11700 W 2ND PL STE 450, LAKEWOOD, CO 80228-1719
(303) 825-1234
(720) 321-8121
Mailing address
11700 W 2ND PL STE 450, LAKEWOOD, CO 80228-1719
(303) 825-1234
(720) 321-8121
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
40463
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90754824
—
CO
Enumeration date
02/02/2006
Last updated
12/20/2022
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