Organization
NORTON HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENQUISHA MARIE MOORMAN FNP-C (APRN)
(502) 417-3044
Entity
Organization
Contact information
Practice address
1930 BISHOP LN, LOUISVILLE, KY 40218-1921
(502) 272-5044
Mailing address
2308 HIKES LN APT E38, LOUISVILLE, KY 40218-1426
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3012039
KY
Other
Enumeration date
04/19/2018
Last updated
04/19/2018
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