Individual provider · Type 1 NPI

Kenneth Adam Moore, MD

Neurological Surgery Physician · Indianapolis, IN

NPI number 1013304054 Active

Practice location

355 W 16th St Ste 5100
Indianapolis, IN 46202-2274

Fax (317) 222-2012

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice locations

  • 6325 Humphreys Blvd, Memphis, TN 38120-2300 · (901) 522-7700

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician 207T00000X65489 (TN)
Neurological Surgery Physician Primary 207T00000X01090436A (IN)

Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

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About NPI 1013304054

Kenneth Adam Moore, MD's National Provider Identifier is 1013304054, issued on Apr 16, 2015. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Indianapolis, IN. The record was last updated on Oct 2, 2023.