Kevin Dale Moore in Stafford - Forensic Psychiatry
Kevin Dale Moore - NPI 1023096054
Kevin Dale Moore is a Forensic Psychiatry in Stafford, Virginia. Kevin Dale Moore practices all healthcare services and medical treatments related to Forensic Psychiatry. The NPI Number for Kevin Dale Moore is 1023096054. The last update date is 2018-08-06.
Kevin Dale Moore's current location address is 450 Garrisonville Rd, Stafford, Virginia. You can contact this provider via phone number 7035222727 and fax number 5402883327. The mailing address for Kevin Dale Moore is 450 Garrisonville Rd, Stafford, Virginia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kevin Dale Moore |
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Address | 450 Garrisonville Rd, Stafford, Virginia |
Phone Number | 7035222727 |
Fax Number | 5402883327 |
Sole Proprietor | Y |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1023096054 |
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Provider Enumeration Date | 2006-01-09 |
Last Updated Date | 2018-08-06 |
Provider Mailing Address Detail
Address | 450 Garrisonville Rd |
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City | Stafford |
State | Virginia (VA) |
Post Code | 22554 |
Phone Number | 7035222727 |
Fax Number | 5402883327 |
Provider's Primary Taxonomy Detail
Speciality | Forensic Psychiatry |
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Taxonomy | 2084F0202X |
Licence No | 28200 |
Definition: Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and fo |
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What is the Kevin Dale Moore's unique identification number?
The Kevin Dale Moore has been assigned the NPI (National Provider Identifier) Number 1023096054 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Kevin Dale Moore's physical address?
The Kevin Dale Moore is physically located at 450 Garrisonville Rd, in the city of Stafford, VA, with the postal code 22554.
What is Kevin Dale Moore's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kevin Dale Moore is Forensic Psychiatry, and the taxonomy code that classifies this field of practice is 2084F0202X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1023096054 to Kevin Dale Moore?
The Centers for Medicare & Medicaid Services originally issued the 1023096054 to Kevin Dale Moore on 2006-01-09.
As of what date were the Kevin Dale Moore's details last updated?
The information pertaining to the Kevin Dale Moore, including its address, specialty, and other details, was most recently updated on 2018-08-06.