KENNETH H MOON JR

DES MOINES, IA
NPI1447226840
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207QA0401X Family Medicine, Addiction Medicine
(Licence: IA  02033)
Enumeration Date2006-02-24
Last Update Date2012-08-09
Business Address
-- KENNETH H MOON JR DO
2301 EAST 14TH STREET
DES MOINES, IA 50316-1901
Phone number: 515-262-0404
Mailing Address
-- KENNETH H MOON JR DO
2301 E 14TH ST
DES MOINES, IA 50316-1901
Phone number: 515-262-0404
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