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Denise Moore
Family Nurse Practitioner in Crestwood, Kentucky
NPI 1346705472

Denise Moore is a Family Nurse Practitioner based in Crestwood, KY and is specialized in Family. Denise Moore practices in Crestwood, KY. The NPI Number for Denise Moore is 1346705472 and holds a License No. 3013070 (Kentucky).

The current practice location address for Denise Moore is 4102 Deer Run Rd, Crestwood, KY and can be reached out via phone at 502-758-0795.

Location: 4102 Deer Run Rd, Crestwood, KY, 40014-9227
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346705472
Provider Name
Denise Moore
Credential
Provider Entity Type
Individual
Gender
Female
Address
4102 Deer Run Rd, Crestwood, KY, 40014-9227
Phone Number
502-758-0795
Fax Number
Provider Enumeration Date
02/03/2019
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300029799 05 IN
412840109 01 IN MEDICARE
7100620180 05 KY
institution
Provider Business Practice Location Address Details
Address
4102 Deer Run Rd
City
Crestwood
State
Kentucky
Zip
40014-9227
Phone Number
502-758-0795
Fax Number
person
Provider Business Mailing Address Details
Address
4102 Deer Run Rd
City
Crestwood
State
Kentucky
Zip
40014-9227
Phone Number
502-758-0795
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
3013070 (Kentucky)
Definition
Definition to come...
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