Dr. Kenneth S Moore, MHP
Psychologist in Bennington, Vermont
1710358445- Practice location
- 100 Ledgehill RD, Bennington, VT 05201-2273
- Phone
- 802-442-5491
- Fax
- —
- Last updated
- December 22, 2015
Kenneth Steven Moore is a Psychologist based in Bennington, VT. Kenneth Steven Moore practices in Bennington, VT and has the professional credentials of MHP. The NPI Number for Kenneth Steven Moore is 1710358445 and holds a License No. 0970113490 (VT). The current practice location address for Kenneth Steven Moore is 100 Ledgehill RD, Bennington, VT 05201-2273 and can be reached out via phone at 802-442-5491.
Provider Profile Details
- NPI Number
- 1710358445
- Provider Name
- Kenneth Steven Moore
- Credential
- MHP
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 100 Ledgehill RD, Bennington, VT 05201-2273
- Phone Number
- 802-442-5491
- Primary Taxonomy
- Psychologist · 103T00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 7, 2015
- Last Update Date
- December 22, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 100 Ledgehill RD
Bennington, VT 05201-2273 - City
- Bennington
- State
- Vermont
- Zip
- 05201-2273
- Phone Number
- 802-442-5491
Provider Business Mailing Address Details
- Address
- 100 Ledgehill RD
Bennington, VT 05201-2273 - City
- Bennington
- State
- VT
- Zip
- 05201-2273
- Phone Number
- 802-442-5491
License Information
- License Number (1)
- 0970113490
- License State (1)
- VT
- Taxonomy (1)
- Psychologist, Family · 103TF0000X
- Taxonomy (2)
- Psychologist · 103T00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Kenneth S Moore, MHP?
The NPI number of Dr. Kenneth S Moore, MHP is 1710358445. It was assigned on October 7, 2015 and is currently active in the NPPES registry.
What is the specialty of Dr. Kenneth S Moore, MHP?
Dr. Kenneth S Moore, MHP is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in VT under license number 0970113490.
Where does Dr. Kenneth S Moore, MHP practice?
The practice location is 100 Ledgehill RD, Bennington, VT 05201-2273. The office can be reached at 802-442-5491 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1710358445 directly on the NPPES registry website.