Kenneth Moore

Skilled Nursing Facility · Saint Cloud, FL

Individual Active NPI

NPI number 1134490766

Practice location

751 Orange Ave
Saint Cloud, FL 34769-3063
Phone
(407) 967-7128

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NPI record

NPI
1134490766
Entity type
Individual (Type 1)
Enumeration date
January 12, 2012
Last updated
January 12, 2012
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary 314000000X 2083 FL

About Kenneth Moore

Kenneth Moore is a healthcare provider registered in the NPI registry with the primary taxonomy Skilled Nursing Facility (code 314000000X). The practice location is 751 Orange Ave, Saint Cloud, FL 34769-3063. The NPI number 1134490766 was assigned on January 12, 2012 and the record was last updated on January 12, 2012.

Kenneth Moore lists a license in the registry: #2083 (FL) for Skilled Nursing Facility. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kenneth Moore?

The NPI number is 1134490766.

What is the phone number of Kenneth Moore?

The phone number listed for the practice location is (407) 967-7128.

Where is Kenneth Moore located?

751 Orange Ave, Saint Cloud, FL 34769-3063.

What is the taxonomy code for Kenneth Moore?

The primary taxonomy code is 314000000X – Skilled Nursing Facility.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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