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Individual

DR. KIMERLI PLUMB-MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1484 LAKESIDE DRIVE, JACKSON, KY 41339-6555
(606) 666-9950
(606) 666-9136
Mailing address
PO BOX 690, BEATTYVILLE, KY 41311-0690
(606) 464-0151
(606) 464-0152

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
26703
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64267032
KY
Enumeration date
09/29/2005
Last updated
05/12/2025
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