NPI 1013304054

Kenneth Adam Moore, MD

Practitioner Neurological Surgery Physician Indianapolis, IN

Practice location

Address: 355 W 16th St STE 5100, Indianapolis, IN 46202-2274
Phone: (317) 963-1300
Fax: (317) 222-2012
Mailing address: 250 N Shadeland Ave, Indianapolis, IN 46219-4959

Registered specialties (2)

Neurological Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207T00000X Licence 01090436A (IN)

Other Neurological Surgery providers in Indiana →

Neurological Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207T00000X Licence 65489 (TN)

Registry record

NPI: 1013304054
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Apr 2015
Record last updated: 2 Oct 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.