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Michael Alan Moore, APRN
Family Nurse Practitioner in Ashland, Kentucky
NPI 1376089557

Michael Alan Moore is a Family Nurse Practitioner based in Ashland, KY and is specialized in Family. Michael Alan Moore practices in Ashland, KY and has the professional credentials of APRN. The NPI Number for Michael Alan Moore is 1376089557 and holds a License No. 024237 (Kentucky).

The current practice location address for Michael Alan Moore is 2245 Winchester Ave, Ashland, KY and can be reached out via phone at 606-408-2600 and via fax at 606-408-2605.

Location: 2245 Winchester Ave, Ashland, KY, 41105-2379
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376089557
Provider Name
Michael Alan Moore
Credential
APRN
Provider Entity Type
Individual
Gender
Male
Address
2245 Winchester Ave, Ashland, KY, 41105-2379
Phone Number
606-408-2600
Fax Number
606-408-2605
Provider Enumeration Date
01/12/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100465060 05 KY
institution
Provider Business Practice Location Address Details
Address
2245 Winchester Ave
City
Ashland
State
Kentucky
Zip
41101-7848
Phone Number
606-408-2600
Fax Number
606-408-2605
person
Provider Business Mailing Address Details
Address
2245 Winchester Ave
City
Ashland
State
Kentucky
Zip
41101-7848
Phone Number
606-408-2600
Fax Number
606-408-2605
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
024237 (Ohio)
Definition
Definition to come...
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