Individual
MELISSA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
566 HIGHWAY 899, HINDMAN, KY 41822-8955
(606) 785-3164
(606) 785-0107
Mailing address
PO BOX 849, HINDMAN, KY 41822-0849
(606) 785-3164
(606) 785-0107
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
3008199
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100302050
—
KY
Enumeration date
08/02/2013
Last updated
06/10/2021
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