IndividualActive
Kevin Moore, M.D.
NPI 1548340409 · Emergency Medical Services (Emergency Medicine) Physician · Bloomington, IN
Provider details
- NPI number
- 1548340409
- Entity type
- Individual
- Primary specialty
- Emergency Medical Services (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 01067765A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
601 W 2nd St
Bloomington, IN 47403-2317
Phone: (812) 353-9515
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1329
Bloomington, IN 47402-1329
Registry dates
- Enumerated
- 2006-10-16
- Last updated
- 2014-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.