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1710479753
KEVIN NELSON MOORE
BLOOMINGTON, IN
NPI
1710479753
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IN 71008478A)
Enumeration Date
2018-06-05
Last Update Date
2024-02-21
Business Address
KEVIN NELSON MOORE PMHNP-BC, APRN
501 S MADISON ST STE 105
BLOOMINGTON, IN 47403-2452
Phone number: 812-340-5447
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Mailing Address
KEVIN NELSON MOORE PMHNP-BC, APRN
501 S MADISON ST STE 105
BLOOMINGTON, IN 47403-2452
Phone number: 812-340-5547
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