Individual
MS. MICHELLE THERESA MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
213 N HURSTBOURNE PKWY, LOUISVILLE, KY 40222-5139
(502) 327-5135
(502) 327-9475
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36769
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000545891
ANTHEM
KY
01
—
000023029S
HUMANA- NORTON
KY
01
—
004163
SIHO
KY
01
—
1902880354
NPI
—
01
—
200909270
MEDICAID IN- NORTON CMA
IN
01
—
200909270
MD WISE- NORTON CMA
KY
01
—
3500224000
PASSPORT ADVANTAGE- NORTON CMA- HURSTBOURNE
KY
01
—
50018435
PASSPORT- NORTON CMA
KY
05
—
7100031130
—
KY
01
—
9340096
CIGNA- NORTON
KY
Enumeration date
11/30/2005
Last updated
04/26/2023
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