Individual
DR. BRITTANY MOORE FUGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1484 LAKESIDE DRIVE, JACKSON, KY 41339-6555
(606) 666-9950
(606) 666-9136
Mailing address
PO BOX 690, BEATTYVILLE, KY 41311-0690
(606) 464-0105
(606) 464-0152
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04480
KY
208000000X
Pediatrics Physician
04480
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100604970
—
KY
Enumeration date
04/27/2015
Last updated
05/19/2022
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