Individual
MRS. SHELLY M MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.P.M.
Contact information
Practice address
696 ROY GRIDER RD, SUMMER SHADE, KY 42166-7631
(270) 590-8513
Mailing address
696 ROY GRIDER RD, SUMMER SHADE, KY 42166-7631
(270) 590-8513
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
08/23/2013
Last updated
08/23/2013
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