Individual
MRS. CAROL D. MOFFETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATP
Contact information
Practice address
961 BEASLEY ST, SUITE 140, LEXINGTON, KY 40509-4131
(859) 294-4343
(859) 294-0704
Mailing address
961 BEASLEY ST, SUITE 140, LEXINGTON, KY 40509-4131
(859) 294-4343
(859) 294-0704
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
02/26/2009
Last updated
02/26/2009
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