| MD Moore LLC | |
|
1031 Hwy 11 N Beattyville KY 41311 | |
| (606) 595-8454 | |
| Not Available |
| Full Name | MD Moore LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 1031 Hwy 11 N, Beattyville, Kentucky |
| Authorized Official Name and Position | Tanya B Moore (CEO) |
| Authorized Official Contact | 6065958454 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| MD Moore LLC 1031 Hwy 11 N Beattyville KY 41311 Ph: (606) 595-8454 | MD Moore LLC 1031 Hwy 11 N Beattyville KY 41311 Ph: (606) 595-8454 |
| NPI Number | 1841917762 |
|---|---|
| Provider Enumeration Date | 10/21/2022 |
| Last Update Date | 11/29/2022 |
| Certification Date | 11/29/2022 |
| Medicare PECOS PAC ID | 6901278258 |
|---|---|
| Medicare Enrollment ID | O20230314001400 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841917762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | () | Primary |
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