Kyle Anthony Moore in Richmond - Addiction Medicine

Kyle Anthony Moore - NPI 1568580322

Kyle Anthony Moore is a Addiction Medicine in Richmond, California. Kyle Anthony Moore practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Kyle Anthony Moore is 1568580322. The last update date is 2023-09-06.

Kyle Anthony Moore's current location address is Po Box 70072, Richmond, California. You can contact this provider via phone number 5103750891 and fax number 5102328652. The mailing address for Kyle Anthony Moore is Po Box 70072, Richmond, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Kyle Anthony Moore
Address Po Box 70072, Richmond, California
Phone Number 5103750891
Fax Number 5102328652
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1568580322
Provider Enumeration Date 2007-03-27
Last Updated Date 2023-09-06

Provider Mailing Address Detail

Address Po Box 70072
City Richmond
State California (CA)
Post Code 948070072
Phone Number 5103750891
Fax Number 5102328652

Provider's Primary Taxonomy Detail

Speciality Addiction Medicine
Taxonomy 207Ra0401X
Licence No CA 043351
Definition:
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualification

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
433510 CA --

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FAQs about Kyle Anthony Moore

What is the unique 10-digit identifier code assigned to Kyle Anthony Moore by the Centers for Medicare & Medicaid Services?

The Kyle Anthony Moore has been issued the NPI (National Provider Identifier) 1568580322 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Where is the Kyle Anthony Moore located?

The Kyle Anthony Moore is located at Po Box 70072, Richmond, CA 948070072.

What is the area of specialization for Kyle Anthony Moore, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Kyle Anthony Moore is Addiction Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Ra0401X.

When was the Kyle Anthony Moore's 1568580322 issued?

The Kyle Anthony Moore's 1568580322 was issued on 2007-03-27.

As of what date were the details related to Kyle Anthony Moore most recently updated or revised?

The information pertaining to Kyle Anthony Moore, including its address, specialty, and other relevant details, was last updated or revised on 2023-09-06.

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