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Kenneth Moore

NPI 1568963627 · on the registry since 2018 · sole proprietor

Practice

Address
34800 Bob Wilson Dr
San Diego, CA 92134
Phone
(757) 968-8770
Organisation at this address
Usn
Nmcsd
Nmcsd
Nmcsd
Us Navy
Inferred from a shared address, not stated in the registry.
Clinicians at this address
1,476

Registry record

Primary taxonomy
Independent Duty Corpsman
1710I1002X
Sex
Male
Record last updated
2018-02-23
Status
Not present in the most recent federal file

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 California