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Kenneth H Moon Jr

Family Doctor - Addiction Medicine

2301 East 14th Street
Des Moines , Iowa 50316-1901

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Kenneth H Moon Jr

Family Doctor - Addiction Medicine

2301 East 14th Street
Des Moines , Iowa 50316-1901

(515) 262-0489

Write a Review Save Call

Kenneth H Moon Jr

Family Doctor - Addiction Medicine

2301 East 14th Street
Des Moines , Iowa 50316-1901

(515) 262-0489 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Family Doctor - Addiction Medicine

Languages spoken

  • English

Location

2301 East 14th Street Des Moines , Iowa 50316-1901

First Address

  • Kenneth H Moon Jr
  • 2301 E 14th St
  • Des Moines, IA
  • Zip : 50316-1901
  • Fax : (515) 262-0489
  • Phone : (515) 262-0404

Second Address

  • Kenneth H Moon Jr
  • 2301 East 14th Street
  • Des Moines, IA
  • Zip : 50316-1901
  • Fax : (515) 262-0489
  • Phone : (515) 262-0404

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FAQs


Where did Kenneth H Moon Jr attend graduate school?

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Where did Kenneth H Moon Jr do his residency?

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Where did Kenneth H Moon Jr do his fellowship?

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Is Kenneth H Moon Jr board certified?

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What type of doctor is Kenneth H Moon Jr

Family Doctor - Addiction Medicine

In what state does Kenneth H Moon Jr practice in?

Iowa

Where is Kenneth H Moon Jr ’s practice located?

2301 East 14th Street , Des Moines, Iowa, 50316-1901

What is Kenneth H Moon Jr ’s gender?

Male

Is Kenneth H Moon Jr a sole practitioner?

No

Is Kenneth H Moon Jr accepting new patients?

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What languages does Kenneth H Moon Jr speak?

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Does Kenneth H Moon Jr accept insurance?

Yes, Kenneth H Moon Jr accepts insurance

Does Kenneth H Moon Jr offers telemedicine?

Kenneth H Moon Jr has not indicated if he offers telemedicine

What is Kenneth H Moon Jr ’s professional license number?

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What is Kenneth H Moon Jr ’s NPI number?

1447226840

Does Kenneth H Moon Jr have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207QA0401X Family Doctor - Addiction Medicine 02033 IA

National Provider Identifier

NPI 1447226840
Provider Name Kenneth H Moon Jr
First Address Des Moines, IA 50316-1901
Second Address Des Moines, IA 50316-1901
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 24/02/2006
Last Update Date 09/08/2012

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
1447226840 (05) IA
2215236 (05) IA
D46556 (02) IA

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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