Kenneth H Moon Jr in Des Moines - Addiction Medicine
Kenneth H Moon Jr - NPI 1447226840
Kenneth H Moon Jr is a Addiction Medicine in Des Moines, Iowa. Kenneth H Moon Jr practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Kenneth H Moon Jr is 1447226840. The last update date is 2012-08-09.
Kenneth H Moon Jr's current location address is 2301 E 14th St, Des Moines, Iowa. You can contact this provider via phone number 5152620404 and fax number 5152620489. The mailing address for Kenneth H Moon Jr is 2301 E 14th St, Des Moines, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth H Moon Jr |
|---|---|
| Address | 2301 E 14th St, Des Moines, Iowa |
| Phone Number | 5152620404 |
| Fax Number | 5152620489 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1447226840 |
|---|---|
| Provider Enumeration Date | 2006-02-24 |
| Last Updated Date | 2012-08-09 |
Provider Mailing Address Detail
| Address | 2301 E 14th St |
|---|---|
| City | Des Moines |
| State | Iowa (IA) |
| Post Code | 503161901 |
| Phone Number | 5152620404 |
| Fax Number | 5152620489 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 207Qa0401X |
| Licence No | 2033 |
|
Definition: A family medicine physician who specializes in the diagnosis and treatment of addictions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1447226840 | IA | -- | |
| 2215236 | IA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Kenneth H Moon Jr by the Centers for Medicare & Medicaid Services?
The Kenneth H Moon Jr has been assigned the NPI (National Provider Identifier) 1447226840. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kenneth H Moon Jr?
The Kenneth H Moon Jr is situated at 2301 E 14Th St, in the city of Des Moines, state of IA, with the zip code 503161901.
What is Kenneth H Moon Jr's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kenneth H Moon Jr's specialized field of practice is Addiction Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Qa0401X.
When did the Kenneth H Moon Jr receive its 1447226840?
The Kenneth H Moon Jr was issued its 1447226840 on 2006-02-24, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Kenneth H Moon Jr, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kenneth H Moon Jr, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-08-09.
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