person
Kevin Nelson Moore, PMHNP-BC,APRN
Psychiatric/Mental Health Nurse Practitioner in Bloomington, Indiana
NPI 1710479753

Kevin Nelson Moore is a Psychiatric/Mental Health Nurse Practitioner based in Bloomington, IN and is specialized in Psychiatric/Mental Health. Kevin Nelson Moore practices in Bloomington, IN and has the professional credentials of PMHNP-BC,APRN. The NPI Number for Kevin Nelson Moore is 1710479753 and holds a License No. 71008478A (Indiana).

The current practice location address for Kevin Nelson Moore is 501 S Madison St Ste 105, Bloomington, IN and can be reached out via phone at 812-340-5447 and via fax at 888-789-8394.

Location: 501 S Madison St Ste 105, Bloomington, IN, 47403-2452
person
Provider Profile Details
NPI Number
1710479753
Provider Name
Kevin Nelson Moore
Credential
PMHNP-BC,APRN
Provider Entity Type
Individual
Gender
Male
Address
501 S Madison St Ste 105, Bloomington, IN, 47403-2452
Phone Number
812-340-5447
Fax Number
888-789-8394
Provider Enumeration Date
06/05/2018
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
501 S Madison St Ste 105
City
State
Zip
47403-2452
Phone Number
812-340-5447
Fax Number
888-789-8394
person
Provider Business Mailing Address Details
Address
501 S Madison St Ste 105
City
State
Zip
47403-2452
Phone Number
812-340-5447
Fax Number
888-789-8394
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
71008478A (Indiana)
Definition
Definition to come...
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