Individual
BROOKE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1253 PARIS RD, MAYFIELD, KY 42066-4989
(270) 247-2455
Mailing address
1253 PARIS RD, MAYFIELD, KY 42066-4989
(270) 247-2455
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1122577
KY
Other
Enumeration date
11/15/2022
Last updated
11/15/2022
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