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Contact Information

DAVID P MOORE, MD
402 BROWNS LN
LOUISVILLE, KY40207-4040
 Phone: 502-552-4633
 Fax: 502-895-7997
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavioral Neurology & Neuropsychiatry

2084B0040X
Indicates primary specialty

NPI Profile & details for DAVID P MOORE · (Male)

NPI Number 1851308332
Status Active
Credentials MD
Entity Individual
Enumeration date 08/01/2006
Last updated 08/01/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 19307
  • IN Medicaid 100027390
  • KY Medicaid 64193071
  • KY Other 000000248358 ANTHEM
  • KY Other P01669282 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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