Kenneth Edward Moore, M.D.

Primary specialty

Spinal Cord Injury Medicine PhysicianTaxonomy code 2081P0004X

License

0101045616 Issued in VA

Practice address

McGuire Vamc
1201 Broad Rock Rd
Richmond, VA 23249

Phone

(804) 675-5027

NPI assigned

May 4, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1326096470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10064 BEECHWOOD DR",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162730",
            "telephone_number": "804-730-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MCGUIRE VAMC",
            "address_2": "1201 BROAD ROCK RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23249",
            "telephone_number": "804-675-5027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KENNETH",
        "middle_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P0004X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
            "state": "VA",
            "license": "0101045616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jehniece Michelle Moore, LPC
• Johnny Allen Moore, PHARMACIST
• Joshua Moore, PNP-AC
• Kelly Moore, CRNA
• Kenneth Moore Sr.
• Kerry-Ann Yolanda Moore
• Laura Morgan Smith Moore
• Madison Adell Moore II, RN
• Margaret E Moore, MD
• Matthew H Moore, LCSW

• Spinal Cord Injury Medicine Physician in Richmond, VA
• Providers in Richmond, VA by specialty
• Spinal Cord Injury Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.