Individual
QUENTIN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
1055 DOVE RUN RD, LEXINGTON, KY 40502-3536
(859) 269-4668
(859) 266-5577
Mailing address
1055 DOVE RUN RD, SUITE 200, LEXINGTON, KY 40502-3536
(859) 268-0061
(859) 266-1152
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1051982
KY
363LP2300X
Primary Care Nurse Practitioner
4172P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78013703
—
KY
Enumeration date
10/06/2006
Last updated
09/11/2025
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