| Mr Roger L Moore, | |
| 
					710 Perryville Road, Harrodsburg, KY 40330  | |
| (859) 253-1686 | |
| (859) 254-2743 | 
| Full Name | Mr Roger L Moore | 
|---|---|
| Gender | Male | 
| Speciality | Registered Nurse - Psychiatric/mental Health | 
| Location | 710 Perryville Road, Harrodsburg, Kentucky | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1558401497 | NPI | - | NPPES | 
| 30615058 | Medicaid | KY | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | 1088865 (Kentucky) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr Roger L Moore, 1351 Newtown Pike, Lexington, KY 40511-1217 Ph: (859) 253-1686  | Mr Roger L Moore, 710 Perryville Road, Harrodsburg, KY 40330 Ph: (859) 253-1686  | 
Yvonne Marie Chabot,  Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 591 Hopewell Rd, Harrodsburg, KY 40330 Phone: 859-733-0605  | |
Jacob Long,  Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1919 Cornishville Rd, Harrodsburg, KY 40330 Phone: 859-612-7454  | |
Vicki Sue Tackett, R.N.C., ARNP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 900 N College St, Harrodsburg, KY 40330 Phone: 859-734-2229  | |
Brenda Sue Ruckel, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 710 Perryville Rd, Harrodsburg, KY 40330 Phone: 859-253-1686 Fax: 859-254-2743  | |
Kelly Workman,  Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 180 Lucky Man Way, Harrodsburg, KY 40330 Phone: 859-734-2953 Fax: 859-734-4670  | |
Valerie Ann Dillingham, ADHS Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 180 Lucky Man Way, Harrodsburg, KY 40330 Phone: 859-605-9951  |