Moore, Kevin T.

Moore, Kevin T. is an individual health care provider with primary practice located at 601 W 2Nd St , Bloomington IN 47403-2317. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Moore, Kevin T. can be contacted via phone (812) 353-9515.

Contact Information

Primary practice address
601 W 2Nd St Bloomington IN 47403-2317
Phone: (812) 353-9515
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 01067765A Indiana

Profile Details

NPI number 1548340409
LBN Legal business name Moore, Kevin T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Aug 21st, 2014 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1548340409 NPPES
Indiana MEDICAID 200318130

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