Individual provider · Type 1 NPI
Kevin Joseph Moore, MD, MPH
Student in an Organized Health Care Education/Training Program · Boston, MA
NPI number
1164927042
Active
Practice location
55 Fruit St # BH616
Boston, MA 02114-2621
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | 278727 (MA) |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2 other providers at this address
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About NPI 1164927042
Kevin Joseph Moore, MD, MPH's National Provider Identifier is 1164927042, issued on Mar 24, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on Jan 6, 2020.