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Contact Information

KENNETH MOORE
2460 CURTIS ELLIS DR
ROCKY MOUNT, NC27804-2237
 Phone: 252-443-8172
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for KENNETH MOORE · (Male)

NPI Number 1215030465
Status Active
Credentials
Entity Individual
Enumeration date 09/06/2006
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 9800098
  • NC Medicaid 89135T6
Hospital affiliation(s)
  • HALIFAX REGIONAL MEDICAL CENTER INC - (Acute Care)
    250 SMITH CHURCH RD
    ROANOKE RAPIDS, NC 27870
  • NASH GENERAL HOSPITAL - (Acute Care)
    2460 CURTIS ELLIS DRIVE
    ROCKY MOUNT, NC 27804
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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