Individual
MR. LLOYD DAVID MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
170 PEDRO WAY, WINCHESTER, KY 40391-8354
(859) 901-1122
(859) 276-5939
Mailing address
100 E LIBERTY ST, SUITE 800, LOUISVILLE, KY 40202-1434
(606) 330-7840
(606) 330-7825
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 380
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95000410
—
KY
Enumeration date
03/23/2006
Last updated
03/28/2016
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