Kenneth Sheppard Moore
Kenneth Sheppard Moore is an Independent Duty Corpsman in San Diego, California. Practices as a sole proprietor. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
34800 Bob Wilson DrSan Diego, CA 92134-1098
Phone: (757) 968-8770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Independent Duty Corpsman (primary) | Taxonomy 1710I1002X |
|---|
Record details
| NPI number | 1568963627 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 23, 2018 |
| Last updated in NPPES | February 23, 2018 |
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