Individual
DR. DANIEL MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
478 WHIRLAWAY DR, STE 100, DANVILLE, KY 40422-9037
(859) 236-6613
(859) 236-3558
Mailing address
478 WHIRLAWAY DR, STE 100, DANVILLE, KY 40422-9037
(859) 236-6613
(859) 236-3558
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19025
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000003405
CHA
KY
01
—
000000048971
BCBS
KY
01
—
110043951
RAILROAD MEDICARE
KY
01
—
611124412
TAX ID
KY
05
—
64190K259
—
KY
Enumeration date
01/30/2006
Last updated
05/10/2010
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