Individual
NICHOLAS WHEELER MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
UNIVERSITY OF KENTUCKY 800 ROSE ST, LEXINGTON, KY 40536-0001
(859) 323-6762
Mailing address
UNIVERSITY OF KENTUCKY 800 ROSE ST, ROOM M-53, LEXINGTON, KY 40536-0293
(859) 323-5083
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R4142
KY
Other
Enumeration date
03/23/2016
Last updated
07/05/2017
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