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Kendrick Moore
NPI 1104781962 · on the registry since 2025
Practice
- Address
- 6624 Rustic Ridge Trl
Grand Blanc, MI 48439 - Phone
- (833) 478-9464
- Fax
- (810) 462-1093
- Organisation at this address
- Rustic Ridge Specialized Residential
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 26
Registry record
- Primary taxonomy
- Community Health Worker
172V00000X
- Sex
- Male
- Record last updated
- 2025-12-23
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 Michigan