Individual
JENNIFER MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4328 13TH ST, ASHLAND, KY 41102-5432
(606) 327-1160
Mailing address
1365 HILLSDALE DR, RACELAND, KY 41169-1076
(606) 465-1483
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
CNM0905
—
Other
Enumeration date
09/21/2012
Last updated
09/21/2012
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