Individual
DR. STEPHEN LEE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1301 PLEASANT VALLEY RD, SUITE 202, OWENSBORO, KY 42303-9774
(270) 417-7500
(270) 417-7509
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 688-1330
(270) 688-1338
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
03919
KY
207RC0000X
Cardiovascular Disease Physician
34004442
OH
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
03919
KY
207RC0001X
Clinical Cardiac Electrophysiology Physician
34004442
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0684531
—
OH
05
—
201336910
—
IN
05
—
7100373990
—
KY
Enumeration date
01/17/2006
Last updated
03/17/2016
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