Individual
DAVID RYAN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
421 N 5TH ST, PADUCAH, KY 42001-0726
(270) 293-1644
Mailing address
421 N 5TH ST, PADUCAH, KY 42001-0726
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
1137564
KY
Other
Enumeration date
12/17/2025
Last updated
12/17/2025
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