Kenneth Taeho Moon, MD
Kenneth Taeho Moon, MD is a Family Medicine Physician in Hollywood, Maryland. Licensed in District of Columbia and Maryland. Registered with an NPI since 2005.
- Licensed in
- DC, MD
- In the registry since
- 2005
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
24435 Mervell Dean RdHollywood, MD 20636-2712
Phone: (301) 373-2116
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence D0057219 (MD) |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X · Licence 32929 (DC) |
Record details
| NPI number | 1972591345 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | October 11, 2005 |
| Last updated in NPPES | October 24, 2025 |
| Certification date | October 24, 2025 |
| Mailing address | Po Box 37, Hollywood, MD 20636-0037 |
Other providers in Hollywood
-
John L Bennett, MD
24035 Three Notch Rd, Hollywood, MD 20636-4871 · (301) 373-7900
-
Dr. Charles William Sandor, MD
24035 Three Notch Rd, Hollywood, MD 20636-4871 · (301) 373-7900
-
Shah Associates MD LLC
24035 Three Notch Rd Philip J Bean Medical Ctr, Hollywood, MD 20636-4871 · (301) 373-7900
-
Youngsik Moon, MD, PA
24435 Mervell Dean Rd, Hollywood, MD 20636-2712 · (301) 373-2116