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1548340409
KEVIN T. MOORE
BLOOMINGTON, IN
NPI
1548340409
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207PE0004X Emergency Medicine, Emergency Medical Services
(Licence: IN 01067765A)
Enumeration Date
2006-10-16
Last Update Date
2014-08-21
Business Address
-- KEVIN T. MOORE M.D.
601 W 2ND ST
BLOOMINGTON, IN 47403-2317
Phone number: 812-353-9515
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Mailing Address
-- KEVIN T. MOORE M.D.
PO BOX 1329
BLOOMINGTON, IN 47402-1329
Phone number: 812-353-3087
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