Individual provider · Type 1 NPI

Kenneth Taeho Moon, MD

Family Medicine Physician · Hollywood, MD

NPI number 1972591345 Active

Practice location

24435 Mervell Dean Rd
Hollywood, MD 20636-2712

Mailing address

PO Box 37
Hollywood, MD 20636-0037

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X32929 (DC)
Family Medicine Physician Primary 207Q00000XD0057219 (MD)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3 other providers at this address

Other family medicine physician providers in Hollywood

See all in Hollywood →

About NPI 1972591345

Kenneth Taeho Moon, MD's National Provider Identifier is 1972591345, issued on Oct 11, 2005. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Hollywood, MD. The record was last updated on Oct 24, 2025.