Kevin Lee Moore in Clarion - General Practice
Kevin Lee Moore - NPI 1275690323
Kevin Lee Moore is a General Practice in Clarion, Pennsylvania. Kevin Lee Moore practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kevin Lee Moore is 1275690323. The last update date is 2007-07-08.
Kevin Lee Moore's current location address is 160 S 2nd Ave, Clarion, Pennsylvania. You can contact this provider via phone number 8142266321 and fax number 8142266353. The mailing address for Kevin Lee Moore is 160 S 2nd Ave, Clarion, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Lee Moore |
|---|---|
| Address | 160 S 2nd Ave, Clarion, Pennsylvania |
| Phone Number | 8142266321 |
| Fax Number | 8142266353 |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1275690323 |
|---|---|
| Provider Enumeration Date | 2007-01-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 160 S 2nd Ave |
|---|---|
| City | Clarion |
| State | Pennsylvania (PA) |
| Post Code | 162142444 |
| Phone Number | 8142266321 |
| Fax Number | 8142266353 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DS-022522-L |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identification code issued to Kevin Lee Moore by the Centers for Medicare & Medicaid Services?
The Kevin Lee Moore has been assigned the NPI (National Provider Identifier) 1275690323 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Kevin Lee Moore's facilities are situated?
The facilities of Kevin Lee Moore are physically located at the following address: 160 S 2Nd Ave, Clarion, PA, 162142444.
What is Kevin Lee Moore's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kevin Lee Moore is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
On what date did the Kevin Lee Moore receive its 1275690323 assignment from the Centers for Medicare & Medicaid Services?
The Kevin Lee Moore was assigned its 1275690323 by the Centers for Medicare & Medicaid Services on 2007-01-01.
When was the information pertaining to Kevin Lee Moore most recently updated or revised?
The details related to Kevin Lee Moore, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.