Individual
ANGELA R MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1760 NICHOLASVILLE RD, SUITE 401, LEXINGTON, KY 40503-1471
(859) 260-6537
Mailing address
4071 TATES CREEK CENTRE DR, SUITE 202, LEXINGTON, KY 40517-3062
(859) 260-4385
(859) 260-4386
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
31216
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64312168
—
KY
Enumeration date
06/12/2006
Last updated
12/04/2020
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