KENDRICK LAMAR MOORE
NPI 1104781962
Community Health Worker in Grand Blanc, MI
About Kendrick Lamar Moore NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENDRICK LAMAR MOORE (NPI 1104781962) is an individual community health worker in Grand Blanc, Michigan and active in the NPI registry since December 2025.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kendrick Moore's NPI number?
The NPI number for Kendrick Moore is 1104781962. It was assigned to this individual provider in the NPPES registry on December 23, 2025.
Where is Kendrick Moore located?
Kendrick Moore practices at 6624 Rustic Ridge Trl, Grand Blanc, MI 48439. The listed phone number is (833) 478-9464.
What is Kendrick Moore's specialty?
The primary specialty registered for this NPI is Community Health Worker with taxonomy code 172V00000X.
When was this NPI record last updated?
The NPPES record for Kendrick Moore was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.