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1326096470
KENNETH EDWARD MOORE
RICHMOND, VA
NPI
1326096470
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine
(Licence: VA 0101045616)
Enumeration Date
2006-05-04
Last Update Date
2007-07-08
Business Address
-- KENNETH EDWARD MOORE M.D.
MCGUIRE VAMC 1201 BROAD ROCK RD
RICHMOND, VA 23249
Phone number: 804-675-5027
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Mailing Address
-- KENNETH EDWARD MOORE M.D.
10064 BEECHWOOD DR
MECHANICSVILLE, VA 23116-2730
Phone number: 804-730-7898
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