Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOSEPH KALEB MOORE
Active Sole ProprietorJOSEPH KALEB MOORE is a Family Medicine healthcare provider located in FORTVILLE, Indiana. NPI 1104354505 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · FORTVILLE, IN
Registration Details
- NPI Number
- 1104354505
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 30, 2017 (9.0626439082963 yrs)
- Last Updated
- Jul 6, 2021
- License
-
01086091A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
545 VITALITY DR STE 100AFORTVILLE, IN, 460401373Browse IN providers · Browse ZIP 46040
- Phone
- 3176219220
- Fax
- 3176219222
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in FORTVILLE, IN
| Name | Credential | NPI |
|---|---|---|
| MARGARET S FITZSIMMONS | MD | 1689617672 |
| BRENDAN LEROY | MD | 1154405645 |
| MICA METZ | D.O. | 1023457231 |
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.