Individual
DR. KEVIN E MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4371 NEW SHEPHERDSVILLE RD, BARDSTOWN, KY 40004-8040
(502) 350-1022
(502) 350-1023
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7835
(606) 330-7825
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
KY 33047
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100471590
—
KY
Enumeration date
10/26/2005
Last updated
01/13/2025
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