-- KENNETH H MOON JR -- DO
Individual Provider (NPI-1)
Active
Family Medicine, Addiction Medicine
Provider Information
- NPI Number
1447226840- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DO
- Status
- Active
Contact & Location
- Address
- 2301 EAST 14TH STREET, DES MOINES, IA, 503161901
- Phone
- (515) 262-0404
- Fax
- (515) 262-0489
Specialties & Taxonomies
Family Medicine, Addiction Medicine
Primary License: IA #02033