Individual
DR. DANIEL MORAN
Active
Individual
DR. DANIEL MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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