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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1376396721

Dr. Kennedy Moore, DO is a Student in an Organized Health Care Education/Training Program in Memphis, Tennessee. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

920 Madison Ave Ste 447
Memphis, TN 38103-3438
Phone: (901) 287-6756
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1376396721
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 8, 2024
Last updated in NPPESApril 8, 2024
Certification dateApril 7, 2024
Mailing address50 North Dunlap Street Box 20, Memphis, TN 38163-0001

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