Individual
JOSHUA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 E CHESTNUT ST UNIT 610, LOUISVILLE, KY 40202-5711
(502) 588-4450
(502) 588-9539
Mailing address
550 S JACKSON ST, LOUISVILLE, KY 40202-1622
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
TP316
KY
Other
Enumeration date
04/28/2015
Last updated
05/30/2019
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