Kenyon Laroyce Moore
Occupational Therapy Assistant · Wilton, AR
Practice location
310 South Fourth StreetWilton, AR 71865
- Phone
- (870) 331-3184
NPI record
- NPI
- 1588129803
- Entity type
- Individual (Type 1)
- Enumeration date
- February 1, 2019
- Last updated
- February 1, 2019
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapy Assistant Primary | 224Z00000X |
213345 | TX |
About Kenyon Moore
Kenyon Laroyce Moore is a healthcare provider registered in the NPI registry with the primary taxonomy Occupational Therapy Assistant (code 224Z00000X). The practice location is 310 South Fourth Street, Wilton, AR 71865. The NPI number 1588129803 was assigned on February 1, 2019 and the record was last updated on February 1, 2019.
Kenyon Moore lists a license in the registry: #213345 (TX) for Occupational Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Kenyon Laroyce Moore?
The NPI number is 1588129803.
What is the phone number of Kenyon Moore?
The phone number listed for the practice location is (870) 331-3184.
Where is Kenyon Moore located?
310 South Fourth Street, Wilton, AR 71865.
What is the taxonomy code for Kenyon Moore?
The primary taxonomy code is 224Z00000X – Occupational Therapy Assistant.
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.