Individual
DR. DAVID PRINGLE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
19307
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000248358
ANTHEM
KY
05
—
100027390
—
IN
05
—
64193071
—
KY
01
—
P01669282
RAILROAD MEDICARE
KY
Enumeration date
08/01/2006
Last updated
08/01/2016
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