KENNETH P. MOORE M.D. – NPI #1700094240
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Health Care Provider Taxonomy Code for Urology

KENNETH MOORE is an urologist located in DEL RIO, TX. NPPES has assigned the NPI number 1700094240 to KENNETH MOORE on May 18, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208800000X from the Health Care Provider Taxonomy code set, which is classified as Urology.

The NPI profile was previously updated about 11 years ago on Oct 21, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KENNETH MOORE below.

NPI Profile for
KENNETH P. MOORE

NPI Number
1700094240
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
KENNETH P. MOORE
Credentials
M.D.
Primary location
801 N BEDELL AVE
DEL RIO, TX 78840-4112
Phone: (830) 703-1733 Fax: (830) 703-1733
Mailing address
PO BOX 437
SAN ANTONIO, TX 78292-0437
Phone: (210) 558-6288 Fax: (210) 558-6289
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208800000X
- Urology (Primary)		 TX P0100

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
KENNETH MOORE is affiliated with the following medical group(s):
  • HOSPITAL
    • VAL VERDE REGIONAL MEDICAL CENTER
      801 BEDELL AVE
      DEL RIO, TX 78840
  • HOME HEALTH AGENCY
    • SUPERIOR HOME HEALTH OF EAGLE PASS LLC
      2711 N VETERANS BLVD SUITE 1
      EAGLE PASS, TX 78852

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