Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH JERALD MOORE, PHD LCSW
Active Sole ProprietorDR. KENNETH JERALD MOORE, PHD LCSW is a Clinical Social Worker healthcare provider located in TULSA, Oklahoma. NPI 1376722348 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · TULSA, OK
Registration Details
- NPI Number
- 1376722348
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 26, 2007 (18.757928896826 yrs)
- Last Updated
- Aug 14, 2009
- License
-
2165 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6906 S UTICA PLTULSA, OK, 741365158Browse OK providers · Browse ZIP 74136
- Phone
- 9187944596
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in TULSA, OK
| Name | Credential | NPI |
|---|---|---|
| DWAIN L SIMPSON | MSW, LCSW | 1922007830 |
| MS. GEORGIA A. WYKOFF | LCSW | 1659360683 |
| MARLA CHRISTINE BARRETT | LCSW | 1124094131 |
| KATHIE ANN CALDWELL | LCSW | 1689641516 |
| ELIZABETH A JACKMAN | LCSW | 1760451926 |
| JACQUELINE L KLUEMPER | LCSW | 1982673174 |
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.