Individual
CAROLYN ANNE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3 AUDUBON PLAZA DR, STE.560, LOUISVILLE, KY 40217-1300
(502) 636-8004
(502) 636-8384
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1686
KY
363AS0400X
Surgical Physician Assistant
TC080
KY
Other
Enumeration date
09/20/2011
Last updated
01/20/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us