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Kenneth Moody
NPI 1639572068 · on the registry since 2014 · sole proprietor
Practice
- Address
- 1043 Aberdeen Rd
Hampton, VA 23666 - Phone
- (757) 597-1453
- Fax
- (757) 838-7663
Registry record
- Primary taxonomy
- 320600000X
320600000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-09-30
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 Virginia