Individual
MR. BRIAN KEITH MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
6420 DUTCHMANS PKWY STE 200, LOUISVILLE, KY 40205-3373
(502) 891-8300
(502) 891-8338
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN3117322
FL
363LF0000X
Family Nurse Practitioner
Primary
4005867
KY
Other
Enumeration date
04/21/2010
Last updated
10/26/2023
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