Individual
BRANDON RAY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
333 THOMAS MORE PKWY, CRESTVIEW HILLS, KY 41017-3428
(858) 341-5800
Mailing address
333 THOMAS MORE PKWY, CRESTVIEW HILLS, KY 41017-3428
(859) 341-5800
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
TCA906
KY
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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