Moore, Quentin

Moore, Quentin is an individual health care provider with primary practice located at 1055 Dove Run Rd , Lexington KY 40502-3536. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Nursing Service Providers / Registered Nurse is his primary health care specialty. Moore, Quentin can be contacted via phone (859) 269-4668.

Contact Information

Primary practice address
1055 Dove Run Rd Lexington KY 40502-3536
Phone: (859) 269-4668
Fax: (859) 266-5577
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 1051982 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 4172P Kentucky

Profile Details

NPI number 1497842009
LBN Legal business name Moore, Quentin
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
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 1497842009 NPPES
Kentucky MEDICAID 78013703

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