Individual provider · Type 1 NPI
Kenneth H. Moon JR, DO
Addiction Medicine (Family Medicine) Physician · Des Moines, IA
NPI number
1447226840
Active
Practice location
2301 East 14th Street
Des Moines, IA 50316-1901
Fax (515) 262-0489
Mailing address
2301 E 14th St
Des Moines, IA 50316-1901
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Family Medicine) Physician Primary | 207QA0401X | 02033 (IA) |
Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.
Other addiction medicine (family medicine) physician providers in Des Moines
About NPI 1447226840
Kenneth H. Moon JR, DO's National Provider Identifier is 1447226840, issued on Feb 24, 2006. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Des Moines, IA. The record was last updated on Aug 9, 2012.