Moore, Kevin Dale

Moore, Kevin Dale is an sole proprietor health care provider with primary practice located at 450 Garrisonville Rd 109, Stafford VA 22554. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Forensic Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Moore, Kevin Dale can be contacted via phone (703) 522-2727.

Contact Information

Primary practice address
450 Garrisonville Rd 109 Stafford VA 22554
Phone: (703) 522-2727
Fax: (540) 288-3327
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Forensic Psychiatry 2084F0202X 28200 Kentucky
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 2014-01019 North Carolina
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 28200 Kentucky
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X 28200 Kentucky
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 0101255019 Virginia

Profile Details

NPI number 1023096054
LBN Legal business name Moore, Kevin Dale
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2006
Last updated Aug 6th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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