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

Kenneth Moore

Individual provider Occupational Therapy Assistant · NPI 1790550366

Kenneth Moore is an Occupational Therapy Assistant in Harrisville, West Virginia. Practices as a sole proprietor. Licensed in West Virginia.

Licensed in
WV
In the registry since
2023
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Practice location Address checks out

400 McKinley Ave
Harrisville, WV 26362-1150
Phone: (304) 643-2717
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 1099 (WV)

Record details

NPI number1790550366
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 23, 2023
Last updated in NPPESNovember 23, 2023
Certification dateNovember 23, 2023
Mailing address10920 Inland Rd, Cambridge, OH 43725-8694