DR. KENNEDY MOORE DO
NPI 1376396721
Student in an Organized Health Care Education/Training Program in Memphis, TN
About Dr. Kennedy Moore Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KENNEDY MOORE DO (NPI 1376396721) is an individual student in an organized health care education/training program in Memphis, Tennessee and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Kennedy Moore Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
MEMPHIS, TN 38103
MEMPHIS, TN 38103
MEMPHIS, TN 38103
MEMPHIS, TN 38103
MEMPHIS, TN 38103
MEMPHIS, TN 38103
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 Kennedy Moore's NPI number?
The NPI number for Kennedy Moore is 1376396721. It was assigned to this individual provider in the NPPES registry on April 8, 2024.
Where is Kennedy Moore located?
Kennedy Moore practices at 920 Madison Ave Ste 447, Memphis, TN 38103. The listed phone number is (901) 287-6756.
What is Kennedy Moore's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Kennedy Moore enrolled in Medicare?
Yes. Kennedy Moore is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kennedy Moore was last updated on April 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Dr. Kennedy Moore, DO · NPI 1376396721
Student in an Organized Health Care Education/Training Program provider in Memphis, Tennessee. Individual provider, active in the CMS NPPES registry since April 8, 2024.
## Identity
- **NPI:** 1376396721 (Entity type: Individual)
- **Enumerated:** April 8, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 920 MADISON AVE STE 447, Memphis, TN 38103-3438
- **Phone:** (901) 287-6756
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 8, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1376396721) · Data from the CMS NPPES public registry.