Moore, Kevin E

Moore, Kevin E is an individual health care provider with primary practice located at 919 Chambers Blvd Ste D , Bardstown KY 40004-2574. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Moore, Kevin E can be contacted via phone (502) 350-1302.

Contact Information

Primary practice address
919 Chambers Blvd Ste D Bardstown KY 40004-2574
Fax: (502) 350-1185
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X KY 33047 Kentucky

Profile Details

NPI number 1740270016
LBN Legal business name Moore, Kevin E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Jun 30th, 2019 - about 6 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 1740270016 NPPES
Kentucky MEDICAID 7100471590

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