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Mrs. Corinne Lenore Moore, PA-C
Physician Assistant in Edgewood, Kentucky
NPI 1225203128

Corinne Lenore Moore is a Physician Assistant based in Cleveland, KY. Corinne Lenore Moore practices in Edgewood, KY and has the professional credentials of PA-C. The NPI Number for Corinne Lenore Moore is 1225203128 and holds a License No. 1096 (Kentucky).

The current practice location address for Corinne Lenore Moore is 1 Medical Village Dr, Edgewood, KY and can be reached out via phone at 859-301-2160 and via fax at 859-301-3932. You can also correspond with Corinne Lenore Moore through the mailing address at PO BOX 932163, CLEVELAND, OH - 44193-0001 (mailing address contact number: 586-412-4000).

Location: 1 Medical Village Dr, Edgewood, KY, 44193-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225203128
Provider Name
Corinne Lenore Moore
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1 Medical Village Dr, Edgewood, KY, 44193-0001
Phone Number
859-301-2160
Fax Number
859-301-3932
Provider Enumeration Date
04/23/2008
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
P00920661 01 RRMC
7100056830 05 KY
institution
Provider Business Practice Location Address Details
Address
1 Medical Village Dr
City
Edgewood
State
Kentucky
Zip
41017-3403
Phone Number
859-301-2160
Fax Number
859-301-3932
person
Provider Business Mailing Address Details
Address
Po Box 932163
City
Cleveland
State
Ohio
Zip
44193-0001
Phone Number
586-412-4000
Fax Number
586-412-4100
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
PA1096 (Kentucky)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
1096 (Kentucky)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
1096 (Kentucky)
Definition
Definition to come...
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