KENNETH MOORE

NPI: 1134490766 · Individual · Active

Primary Specialty

Skilled Nursing Facility

Practice Location

751 ORANGE AVE
SAINT CLOUD, FL 34769-3063 Map ↗
Phone: 407-967-7128

All Specialties & Licenses

  • Skilled Nursing Facility Primary (license: 2083, FL)

NPI Registration

Enumerated: 2012-01-12

Last CMS Update: 2012-01-12