Individual
HAYDEN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-4000
Mailing address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-6200
(859) 258-6203
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
3011467
KY
363LF0000X
Family Nurse Practitioner
11001495
FL
363LF0000X
Family Nurse Practitioner
Primary
3011467
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100540950
—
KY
Enumeration date
07/06/2017
Last updated
07/07/2025
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