DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KEVIN A. MOORE MD

MEDICARE:   KEVIN A. MOORE  MD
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
1207Y00000XOtolaryngology Physician306537LA

General Provider Information

NPI Number : 1932595154
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN A. MOORE MD
Provider Business Mailing Address
First Line : 2449 HOSPITAL DR STE 280
Second Line :
City : BOSSIER CITY
State : LA
Zip : 71111-1900
Country : US
Telephone Number : 318-212-7288
Fax Number : 318-212-7295
Provider Business Practice Location Address
First Line : 2449 HOSPITAL DR STE 280
Second Line :
City : BOSSIER CITY
State : LA
Zip : 71111-1900
Country : US
Telephone Number : 318-212-7288
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2015
Last Update Date : 06/09/2026

Similar Medicare Providers

1851918486 — WK BOSSIER ENT & ALLERGY INSTITUTE
Practice Location Address:
2449 HOSPITAL DR STE 280
BOSSIER CITY, LA
71111-1900
Practice Phone: 318-212-7288
Practice Fax: 318-212-7295
1851787071 — JOHN P LAVO MD
Practice Location Address:
2449 HOSPITAL DR STE 280
BOSSIER CITY, LA
71111-1900
Practice Phone: 318-212-7288
Practice Fax: 318-212-7295
1124679865 — SAMANTHA TEER MSN, FNP-C
Practice Location Address:
2449 HOSPITAL DR STE 280
BOSSIER CITY, LA
71111-1900
Practice Phone: 318-212-7288
Practice Fax:
1679069819 — JOHN HAYDEN HOLTZCLAW AU.D.
Practice Location Address:
2449 HOSPITAL DR STE 280
BOSSIER CITY, LA
71111-1900
Practice Phone: 318-212-7288
Practice Fax: 318-212-7295
1255264719 — BRITTANI LAWSON APRN, FNP-C
Practice Location Address:
2449 HOSPITAL DR STE 280
BOSSIER CITY, LA
71111-1900
Practice Phone: 318-212-7288
Practice Fax: 318-212-7295
1508862905 — GERARD DAYLE HENRY M.D.
Practice Location Address:
2449 HOSPITAL DR , STE 280
BOSSIER CITY, LA
71111-1900
Practice Phone: 318-212-7850
Practice Fax: 318-841-4008

Directions to “ KEVIN A. MOORE MD” 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.