MEDICARE: KIMBERLY MOONEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1306217153
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY MOONEY

Provider Business Mailing Address
First Line	:	7662 BROCKTON RD
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19151-2826
Country	:	US
Telephone Number	:	267-234-3530
Fax Number	:

Provider Business Practice Location Address
First Line	:	7662 BROCKTON RD
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19151-2826
Country	:	US
Telephone Number	:	267-234-3530
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/19/2015
Last Update Date	:	10/19/2015

Similar Medicare Providers

1942093687 — DESTYNI MCMILLAN
Practice Location Address:

7648 BROCKTON RD
PHILADELPHIA, PA
19151-2826

Practice Phone: 267-978-8710
Practice Fax:

1639532864 — DEBORAH HARRIS-WHITE
Practice Location Address:

7602 BROCKTON RD
PHILA, PA
19151-2826

Practice Phone: 215-880-0870
Practice Fax:

1417805540 — DR. ERIC MOORE PHD
Practice Location Address:

4064 CONSHOHOCKEN AVE # A31
PHILADELPHIA, PA
19131-2826

Practice Phone: 248-217-5743
Practice Fax:

1689700551 — MEN & WOMEN FOR HUMAN EXCELLENCE, INC.
Practice Location Address:

2603 CECIL B MOORE AVE
PHILADELPHIA, PA
19121-2826

Practice Phone: 215-769-7045
Practice Fax: 215-769-7046

1255633319 — BLESSED PHARMACY
Practice Location Address:

2826 W GIRARD AVE
PHILADELPHIA, PA
19130-1238

Practice Phone: 215-765-2983
Practice Fax: 215-765-2984

1174884498 — ZONA FLATELA MED
Practice Location Address:

2603 CECIL B MOORE AVE
PHILADELPHIA, PA
19121-2826

Practice Phone: 215-769-7045
Practice Fax: 215-769-7046

Directions to “ KIMBERLY MOONEY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.