Kevin Dale Moore in Stafford - Psychiatry

Kevin Dale Moore - NPI 1023096054

Kevin Dale Moore is a Psychiatry in Stafford, Virginia. Kevin Dale Moore practices all healthcare services and medical treatments related to 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
Address 450 Garrisonville Rd, Stafford, Virginia
Phone Number 7035222727
Fax Number 5402883327
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1023096054
Provider Enumeration Date 2006-01-09
Last Updated Date 2018-08-06

Provider Mailing Address Detail

Address 450 Garrisonville Rd
City Stafford
State Virginia (VA)
Post Code 22554
Phone Number 7035222727
Fax Number 5402883327

Provider's Primary Taxonomy Detail

Speciality Psychiatry
Taxonomy 2084P0800X
Licence No 2014-01019
Definition:
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment

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FAQs about Kevin Dale Moore

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 Psychiatry, and the taxonomy code that classifies this field of practice is 2084P0800X.

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.

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