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1780691246
KEVIN MOORE
WEST DES MOINES, IA
NPI
1780691246
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IA MD-25520)
Enumeration Date
2006-08-01
Last Update Date
2016-07-22
Business Address
-- KEVIN MOORE MD
119 19TH ST SUITE 106
WEST DES MOINES, IA 50265-4226
Phone number: 515-226-0112
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Mailing Address
-- KEVIN MOORE MD
PO BOX 1475
DES MOINES, IA 50305-1475
Phone number: 515-226-0112
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