Moore, Glenn I

Moore, Glenn I is an individual health care provider with primary practice located at 1720 Nicholasville Rd Suite 400, Lexington KY 40503-1475. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Moore, Glenn I can be contacted via phone (859) 278-0363.

Contact Information

Primary practice address
1720 Nicholasville Rd Suite 400 Lexington KY 40503-1475
Phone: (859) 278-0363
Fax: (859) 277-6938
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 15567 Kentucky

Profile Details

NPI number 1396735577
LBN Legal business name Moore, Glenn I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Jul 8th, 2007 - about 17 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 1396735577 NPPES
Kentucky MEDICAID 64155674

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