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Kenneth Moore
NPI 1568963627 · Independent Duty Corpsman · San Diego, CA
Kenneth Moore is a Independent Duty Corpsman provider in San Diego, CA (NPI 1568963627).
Provider details
- NPI number
- 1568963627
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
34800 Bob Wilson Dr
San Diego, CA 92134-1098
Phone: (757) 968-8770
Street-level locationGet directions
Mailing address
3385 Drayton Ln
San Diego, CA 92123-2048
Registry dates
- Enumerated
- 2018-02-23
- Last updated
- 2018-02-23
Frequently asked questions
- What is Kenneth Moore's NPI number?
- Kenneth Moore's National Provider Identifier (NPI) is 1568963627, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Moore's specialty?
- Kenneth Moore is listed in the NPPES registry with a primary specialty of Independent Duty Corpsman (Other Service Providers).
- Where is Kenneth Moore located?
- Kenneth Moore's practice location on file with NPPES is 34800 Bob Wilson Dr, San Diego, CA 92134-1098.
- What is Kenneth Moore's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Moore is (757) 968-8770.
- Is Kenneth Moore's NPI active?
- Yes — Kenneth Moore's NPI (1568963627) is active in the NPPES registry as of the last update on 2018-02-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.