Individual
DANIEL BAILEY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
208 CROSSFIELD DR, VERSAILLES, KY 40383-1468
(859) 873-8044
(859) 873-8045
Mailing address
208 CROSSFIELD DR, VERSAILLES, KY 40383-1468
(859) 873-8044
(859) 873-8045
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
02001
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64020019
—
KY
Enumeration date
04/11/2007
Last updated
12/21/2010
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