Individual
ALEC MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 E CHESTNUT ST, LOUISVILLE, KY 40202-5700
(502) 599-8689
Mailing address
4502 RIVER RD, LOUISVILLE, KY 40222-6113
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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