Individual
MELISSA JUSTINE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1500 JAMES SIMPSON JR WAY, COVINGTON, KY 41011
(859) 655-4111
(859) 655-4815
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 655-4111
(859) 655-4815
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0116029002
VA
207Q00000X
Family Medicine Physician
Primary
52784
KY
Other
Enumeration date
06/15/2016
Last updated
05/09/2022
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