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

Kendrick Lamar Moore

Individual provider Community Health Worker · NPI 1104781962

Kendrick Lamar Moore is a Community Health Worker in Grand Blanc, Michigan. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

6624 Rustic Ridge Trl
Grand Blanc, MI 48439-4955
Phone: (833) 478-9464
Fax: (810) 462-1093
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X

Record details

NPI number1104781962
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 23, 2025
Last updated in NPPESDecember 23, 2025
Certification dateDecember 23, 2025
Mailing address6624 Rustic Ridge Trl, Grand Blanc, MI 48439-4955

Other providers in Grand Blanc