Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kendall Moore, PHD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1619459526

Dr. Kendall Moore, PHD is a Student in an Organized Health Care Education/Training Program in Beaufort, South Carolina. Licensed in Virginia. Registered with an NPI since 2018.

Licensed in
VA
In the registry since
2018
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1 Pinckney Blvd
Beaufort, SC 29902-6122
Phone: (843) 228-5611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 0810006320 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1619459526
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedSeptember 6, 2018
Last updated in NPPESSeptember 15, 2023
Certification dateSeptember 15, 2023

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