Individual
MRS. LAURA MATTHYS MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6907 BURLINGTON PIKE, FLORENCE, KY 41042
(859) 525-1846
(859) 647-3355
Mailing address
6907 BURLINGTON PIKE, FLORENCE, KY 41042
(859) 525-1846
(859) 647-3355
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
39716
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0068376
—
OH
05
—
64130321
—
KY
05
—
677405
—
KY
Enumeration date
03/16/2006
Last updated
11/26/2012
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