KENNETH P MOORE MD NPI 1588733349

NPI Information

  • NPI: 1588733349
  • Provider Name: KENNETH P MOORE, MD
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • Doing Business As: DBA RUBY VALLEY UROLOGY
  • Address: 1995 ERRECART BLVD
    SUITE 207
    ELKO, NV
    ZIP 89801
  • Phone: (775) 738-2218

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NPI Details

KENNETH P MOORE, MD is an urology in Elko, NV. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. KENNETH P MOORE, MD NPI is 1588733349. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dba Ruby Valley Urology.

The provider's business location address is:

1995 ERRECART BLVD
SUITE 207
ELKO, NV
ZIP 89801-337
Phone: (775) 738-2218

The provider's authorized official is Kenneth Page Moore .
The authorized official title is Ceo Ruby Valley Urology and has the following contact phone number (775) 738-2218.

The enumeration date for this NPI number is 11/7/2006 and was last updated on 6/23/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1101490MEDICARE ID-TYPE UNSPECIFIED
2100506958MEDICAIDNEVADA
3G44010MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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