Search › Indiana › 207T00000X
Kenneth Moore, MD
NPI 1013304054 · on the registry since 2015 · sole proprietor
Practice
- Address
- 355 W 16th St Ste 5100
Indianapolis, IN 46202 - Phone
- (317) 963-1300
- Fax
- (317) 222-2012
- Organisation at this address
- Indianapolis Neurosurgical Group
Indianapolis Neurosurgical Group
University Physiatric Associates, Inc.
Indiana University Psychiatric Associates, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 287
Additional practice sites
- 6325 Humphreys Blvd, Memphis, TN
Registry record
- Primary taxonomy
- 207T00000X
207T00000X
- Also registered as
- 207T00000X
- Licence states on file
- TN, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-10-02
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 Indiana