Individual
DR. ANDREW MAURICE MOORE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1401 HARRODSBURG RD, SUITE B488, LEXINGTON, KY 40504-3751
(859) 276-3883
(859) 276-3855
Mailing address
1401 HARRODSBURG RD, SUITE B488, LEXINGTON, KY 40504-3751
(859) 276-3883
(859) 276-3855
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
22637
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64226376
—
KY
Enumeration date
03/27/2006
Last updated
05/15/2008
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