Individual
MR. MICHAEL D MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1031 HIGHWAY 11 N, BEATTYVILLE, KY 41311-9240
(606) 919-1901
(606) 919-1904
Mailing address
1031 HIGHWAY 11 N, BEATTYVILLE, KY 41311-9240
(606) 919-1901
(606) 919-1904
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3013243
KY
Other
Enumeration date
03/31/2019
Last updated
03/13/2024
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