KENNETH MOORE

ROCKY MOUNT, NC
NPI1215030465
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: NC  9800098)
Enumeration Date2006-09-06
Last Update Date2007-07-09
Business Address
KENNETH MOORE
2460 CURTIS ELLIS DR
ROCKY MOUNT, NC 27804-2237
Phone number: 252-443-8172
Mailing Address
KENNETH MOORE
PO BOX 409540
ATLANTA, GA 30384-9540
Phone number: