Mr Kevin Brent Moore, DMD is a
Dentist based in Garrett, Kentucky. Mr Kevin Brent Moore is licensed to practice in Kentucky (license number 7061) and his current practice location is
95 Stonecoal Road, Garrett, Kentucky. He can be reached at his office (for appointments etc.) via phone at
(606) 358-9135.
NPI number for Mr Kevin Brent Moore is 1225199706 and his current mailing address is Po Box 427, Garrett, Kentucky. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1225199706.
Healthcare Provider's Profile
| Full Name | Mr Kevin Brent Moore |
|---|
| Gender | Male |
|---|
| Speciality | Dentist |
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| Location | 95 Stonecoal Road, Garrett, Kentucky |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1225199706
- Provider Enumeration Date: 12/12/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Kevin Brent Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225199706 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 7061 (Kentucky) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Kevin Brent Moore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Kevin Brent Moore, DMD
Po Box 427,
Garrett, KY 41630
Ph: (606) 358-9135 | Mr Kevin Brent Moore, DMD
95 Stonecoal Road,
Garrett, KY 41630
Ph: (606) 358-9135 |
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