Moore, Corinne Lenore

Moore, Corinne Lenore is an individual health care provider with primary practice located at 1 Medical Village Dr , Edgewood KY 41017-3403. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Other Service Providers / Specialist, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Moore, Corinne Lenore can be contacted via phone (859) 301-2160.

Contact Information

Primary practice address
1 Medical Village Dr Edgewood KY 41017-3403
Phone: (859) 301-2160
Fax: (859) 301-3932
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1096 Kentucky
Other Service Providers / Specialist 174400000X 1096 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA1096 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1096 Kentucky

Profile Details

NPI number 1225203128
LBN Legal business name Moore, Corinne Lenore
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2008
Last updated Aug 7th, 2013 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1225203128 NPPES
Other P00920661 RRMC
MEDICAID 7100056830 RRMC

Popular Providers