Individual ProviderH Kenneth MooreSocial WorkerBehavioral Health & Social Service ProvidersPractice Address6655 S Yale Ave, Laureate Psychiatric Clinic And Hospital, Tulsa, OK 74136-3326(918) 481-4000PECOS EnrollmentBased on the most recent information from CMS, provider H Kenneth Moore does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 11:47 AM.Profile DetailsProvider ID1396704201Provider TypeIndividualFull NameMoore, H KennethCredentialLCSWGenderMaleSole ProprietorNoEnumeration Date3/20/2006Last Updated1/31/2017Contact InformationPractice LocationPractice Address6655 S Yale Ave, Laureate Psychiatric Clinic And Hospital, Tulsa, OK 74136-3326Phone(918) 481-4000Fax(918) 491-5740Mailing LocationMailing Address6655 S Yale Ave, Laureate Psychiatric Clinic And Hospital, Tulsa, OK 74136-3326Phone(918) 481-4000Fax(918) 491-5740Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense1313Oklahoma