Moore, Kevin Lowery
Moore, Kevin Lowery is an sole proprietor health care provider with primary practice located at 4463 261St Ave Nw , Isanti MN 55040-4351. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Moore, Kevin Lowery can be contacted via phone (176) 327-6028.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 303673 | Minnesota |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 01764 | Minnesota |
Profile Details
| NPI number | 1164151163 |
|---|---|
| LBN Legal business name | Moore, Kevin Lowery |
| Credentials | MA, LPCC, LADC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 7th, 2022 |
| Last updated | Jun 7th, 2022 - about 4 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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