Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenneth Moody Sr.

Individual provider Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1639572068

Kenneth Moody Sr. is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Hampton, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2014

Practice location Address checks out

1043 Aberdeen Rd
Hampton, VA 23666-4803
Phone: (757) 597-1453
Fax: (757) 838-7663
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) Taxonomy 320600000X · Licence 2599 (VA)

Record details

NPI number1639572068
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 30, 2014
Last updated in NPPESSeptember 30, 2014

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