Moore, Brittany Leanne

Moore, Brittany Leanne is an individual health care provider with primary practice located at 500 Bourne Ave , Somerset KY 42501-1916. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutritionist. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Moore, Brittany Leanne can be contacted via phone (606) 678-4761.

Contact Information

Primary practice address
500 Bourne Ave Somerset KY 42501-1916
Phone: (606) 678-4761
Fax: (606) 676-9671
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 2260 Kentucky
Dietary & Nutritional Service Providers / Nutritionist 133N00000X KY-2176 Kentucky

Profile Details

NPI number 1063734762
LBN Legal business name Moore, Brittany Leanne
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2010
Last updated Apr 25th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063734762 NPPES
Kentucky MEDICAID 20001012
Kentucky MEDICAID 20074019
Kentucky MEDICAID 20100012
Kentucky MEDICAID 20044012
Kentucky MEDICAID 20101014
Kentucky MEDICAID 20023016
Kentucky MEDICAID 20029013
Kentucky MEDICAID 20116018
Kentucky MEDICAID 20901211
Kentucky MEDICAID 20027017
Kentucky MEDICAID 20109013

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