Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Kevin Douglas Moon, OTR/L

Individual provider Occupational Therapist · NPI 1942781299

Mr. Kevin Douglas Moon, OTR/L is an Occupational Therapist in Kenmore, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2018
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

3767 Delaware Ave
Kenmore, NY 14217-1040
Phone: (716) 874-6175
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 022807 (NY)

Record details

NPI number1942781299
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedAugust 24, 2018
Last updated in NPPESAugust 24, 2018

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