Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH TAEHO MOON, M.D.
ActiveFamily 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 RDHOLLYWOOD, MD, 206362712Browse 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.