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

Individual provider Internal Medicine Physician · NPI 1154781060

Dr. Kevin Lee Moore, MD is an Internal Medicine Physician in Oklahoma City, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

612 NW 42nd St
Oklahoma City, OK 73118-7004
Phone: (405) 397-7159
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 16453 (OK)

Record details

NPI number1154781060
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 4, 2016
Last updated in NPPESMarch 4, 2016

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