Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KENNETH MOORE
Active Sole ProprietorMR. KENNETH MOORE is a Skilled Nursing Facility healthcare provider located in SAINT CLOUD, Florida. NPI 1134490766 is currently active in the NPPES registry. Verify at CMS.
Skilled Nursing Facility · SAINT CLOUD, FL
Registration Details
- NPI Number
- 1134490766
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 12, 2012 (14.562947847356 yrs)
- Last Updated
- Jan 12, 2012
- License
-
2083 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
751 ORANGE AVESAINT CLOUD, FL, 347693063Browse FL providers · Browse ZIP 34769
- Phone
- 4079677128
- Primary Specialty
-
Skilled Nursing Facility
314000000X
Other Skilled Nursing Facility Providers in SAINT CLOUD, FL
| Name | Credential | NPI |
|---|---|---|
| ELIOMAR FIGUEROA | COTA/L | 1790041341 |
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.