MR. KENNETH MOORE

Skilled Nursing Facility

Active Individual
NPI: 1134490766

Practice Address

751 ORANGE AVE
Saint Cloud, FL 34769

Phone: (407) 967-7128

Specialties

Specialty Code Primary License
Skilled Nursing Facility 314000000X Yes 2083 (FL)

Frequently Asked Questions

NPI 1134490766 is the National Provider Identifier for MR. KENNETH MOORE, a Skilled Nursing Facility provider located in Saint Cloud, FL. This NPI was enumerated on January 12, 2012.
MR. KENNETH MOORE practices at 751 ORANGE AVE, Saint Cloud, FL 34769.

Quick Facts

NPI
1134490766
Type
Individual
Enumerated
Jan 12, 2012
Last Updated
Jan 12, 2012

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