Individual
DR. KEVIN ANDREW MOREMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
914 N DIXIE AVE STE 201, ELIZABETHTOWN, KY 42701-2520
(270) 706-1918
(270) 706-1910
Mailing address
914 N DIXIE AVE STE 201, ELIZABETHTOWN, KY 42701-2520
(270) 706-1918
(270) 706-1910
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
39205
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100040320
—
KY
Enumeration date
02/21/2007
Last updated
05/25/2012
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