person
Kenneth Adam Moore, MD
Neurological Surgery Physician in Indianapolis, Indiana
NPI 1013304054

Kenneth Adam Moore is a Neurological Surgery Physician based in Indianapolis, IN. Kenneth Adam Moore practices in Indianapolis, IN and has the professional credentials of MD. The NPI Number for Kenneth Adam Moore is 1013304054 and holds a License No. 65489 (Indiana).

The current practice location address for Kenneth Adam Moore is 355 W 16Th St Ste 5100, Indianapolis, IN and can be reached out via phone at 317-963-1300 and via fax at 317-222-2012.

Location: 355 W 16Th St Ste 5100, Indianapolis, IN, 46219-4959
person
Provider Profile Details
NPI Number
1013304054
Provider Name
Kenneth Adam Moore
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
355 W 16Th St Ste 5100, Indianapolis, IN, 46219-4959
Phone Number
317-963-1300
Fax Number
317-222-2012
Provider Enumeration Date
04/16/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Q043273 05 TN
300077297 05 IN
068010906 01 IN MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
355 W 16Th St Ste 5100
City
State
Zip
46202-2274
Phone Number
317-963-1300
Fax Number
317-222-2012
person
Provider Business Mailing Address Details
Address
355 W 16Th St Ste 5100
City
State
Zip
46202-2274
Phone Number
317-963-1300
Fax Number
317-222-2012
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Neurological Surgery
Speciality
-
Taxonomy
License No.
65489 (Tennessee)
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
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