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

Kenneth Moore

Individual provider Occupational Therapy Assistant · NPI 1790550366

Kenneth Moore is an Occupational Therapy Assistant in Harrisville, West Virginia. Practices as a sole proprietor. Licensed in West Virginia.

Licensed in
WV
In the registry since
2023

Practice location Address checks out

400 McKinley Ave
Harrisville, WV 26362-1150
Phone: (304) 643-2717
Show map & directions

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

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 1099 (WV)

Record details

NPI number1790550366
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 23, 2023
Last updated in NPPESNovember 23, 2023
Certification dateNovember 23, 2023