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Dr. Kyle Anthony Moore, MD
Addiction Medicine (Internal Medicine) Physician in Richmond, California
NPI 1568580322

Kyle Anthony Moore is an Addiction Medicine (Internal Medicine) Physician based in Richmond, CA and is specialized in Addiction Medicine. Kyle Anthony Moore practices in Richmond, CA and has the professional credentials of MD. The NPI Number for Kyle Anthony Moore is 1568580322 and holds a License No. CA 043351 (California).

The current practice location address for Kyle Anthony Moore is 1313 Cutting Blvd, Richmond, CA and can be reached out via phone at 510-232-0874 and via fax at 510-232-8652.

Location: 1313 Cutting Blvd, Richmond, CA, 94807-0072
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568580322
Provider Name
Kyle Anthony Moore
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1313 Cutting Blvd, Richmond, CA, 94807-0072
Phone Number
510-232-0874
Fax Number
510-232-8652
Provider Enumeration Date
03/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00433510 05 CA
institution
Provider Business Practice Location Address Details
Address
1313 Cutting Blvd
City
Richmond
State
California
Zip
94804-2554
Phone Number
510-232-0874
Fax Number
510-232-8652
person
Provider Business Mailing Address Details
Address
1313 Cutting Blvd
City
Richmond
State
California
Zip
94804-2554
Phone Number
510-232-0874
Fax Number
510-232-8652
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Addiction Medicine
Taxonomy
207RA0401X
License No.
CA 043351 (California)
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
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