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Kenneth Moore
NPI 1134490766 · on the registry since 2012 · sole proprietor
Practice
- Address
- 751 Orange Ave
Saint Cloud, FL 34769 - Phone
- (407) 967-7128
Registry record
- Primary taxonomy
- 314000000X
314000000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-01-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida