Individual
MS. MARIAH T MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 COMMERCIAL DR, ALEXANDRIA, KY 41001-2107
(859) 635-9440
(859) 448-2622
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 635-9440
(859) 448-2622
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
59821
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2019
Last updated
09/23/2024
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