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

Kenneth Moore

Individual provider Emergency Medicine Physician · NPI 1215030465

Kenneth Moore is an Emergency Medicine in Rocky Mount, North Carolina. Graduated from Washington University School of Medicine in 1983, 43 years ago. Practices with Wake Emergency Physicians PA, a 273-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
43
Trained at
Washington University School of Medicine
Licensed in
NC
In the registry since
2006
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Practice location Address checks out

2460 Curtis Ellis Dr
Rocky Mount, NC 27804-2237
Phone: (252) 443-8172
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 9800098 (NC)

Record details

NPI number1215030465
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 6, 2006
Last updated in NPPESJuly 9, 2007
Mailing addressPo Box 409540, Atlanta, GA 30384-9540

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolWASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 1983 (43 years in practice)
Group practice Wake Emergency Physicians Pa — 273 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Rocky Mount