Search › California › 1710I1002X
Kenzie Moore, IDC
NPI 1932542636 · on the registry since 2013 · sole proprietor
Practice
- Address
- 5954 Edgemar Ave
Los Angeles, CA 90043 - Phone
- (323) 559-1541
Registry record
- Primary taxonomy
- 1710I1002X
1710I1002X
- Sex
- Male
- Record last updated
- 2013-04-11
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