Mr. Kenzie Jamal Moore, IDC
Mr. Kenzie Jamal Moore, IDC is an Independent Duty Corpsman in Los Angeles, California. Practices as a sole proprietor. Registered with an NPI since 2013.
- In the registry since
- 2013
Practice location Address checks out
5954 Edgemar AveLos Angeles, CA 90043-3452
Phone: (323) 559-1541
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Specialties & licences
| Independent Duty Corpsman (primary) | Taxonomy 1710I1002X |
|---|
Record details
| NPI number | 1932542636 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | IDC |
| Sole proprietor | Yes |
| NPI enumerated | April 11, 2013 |
| Last updated in NPPES | April 11, 2013 |
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