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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KENNETH TAEHO MOON, M.D.

Active

Family Medicine · HOLLYWOOD, MD

Registration Details

NPI Number
1972591345
Provider Type
Individual
Gender
Male
NPI Issued
Oct 11, 2005 (20.560556946513 yrs)
Last Updated
Oct 24, 2025
Licenses
32929 (DC)
D0057219 (MD)

Practice Information

Address
24435 MERVELL DEAN RD
HOLLYWOOD, MD, 206362712
Browse MD providers · Browse ZIP 20636
Phone
3013732116
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in HOLLYWOOD, MD

Name Credential NPI
JOHN L BENNETT MD 1932282613
DR. CHARLES WILLIAM SANDOR MD 1649776659
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.