Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KEVIN DALE MOORE, M.D.
Active Sole ProprietorDR. KEVIN DALE MOORE, M.D. is a Psychiatry healthcare provider located in STAFFORD, Virginia. NPI 1023096054 is currently active in the NPPES registry. Verify at CMS.
Psychiatry · STAFFORD, VA
Registration Details
- NPI Number
- 1023096054
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 9, 2006 (20.604986119588 yrs)
- Last Updated
- Jan 23, 2026
- Licenses
-
28200 (KY)2014-01019 (NC)28200 (KY)28200 (KY)0101255019 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
450 GARRISONVILLE RD109STAFFORD, VA, 22554Browse VA providers · Browse ZIP 22554
- Phone
- 7035222727
- Fax
- 5402883327
- Primary Specialty
-
Psychiatry
2084P0800X
- Additional Specialty
- Psychiatry
- Additional Specialty
- Psychiatry
- Additional Specialty
- Psychiatry & Neurology
- Additional Specialty
- Psychiatry
Other Psychiatry Providers in STAFFORD, VA
| Name | Credential | NPI |
|---|---|---|
| MR. CHRISTOPHER ROBERT VAN EYCK | PA-C | 1770688277 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.