Individual
KENQUISHA MARIE MOORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2950 W MARKET ST, LOUISVILLE, KY 40212-1860
(502) 801-9502
(877) 284-3296
Mailing address
6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126-3168
(502) 801-9502
(877) 284-3296
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3012039
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100529550
—
KY
01
—
K246490
MEDICARE
KY
Enumeration date
05/02/2018
Last updated
02/11/2026
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