Individual
KIMBERLY BLEVINS MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
125 N. MAIN STREET, STANTON, KY 40380
(606) 663-2521
(606) 663-7662
Mailing address
29 S TERESA DR, OWINGSVILLE, KY 40360-2010
(606) 674-8532
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
010876
KY
Other
Enumeration date
04/19/2011
Last updated
04/19/2011
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