Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH MOORE
Active Sole ProprietorKENNETH MOORE is a Occupational Therapy Assistant healthcare provider located in HARRISVILLE, West Virginia. NPI 1790550366 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · HARRISVILLE, WV
Registration Details
- NPI Number
- 1790550366
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 23, 2023 (2.7543463426167 yrs)
- Last Updated
- Nov 23, 2023
- License
-
1099 (WV)
- Sole Proprietor
- Yes
Practice Information
- Address
-
400 MCKINLEY AVEHARRISVILLE, WV, 263621150Browse WV providers · Browse ZIP 26362
- Phone
- 3046432717
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
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.