Moore, Charles K

Moore, Charles K is an individual health care provider with primary practice located at 2828 1St Ave Suite 510, Huntington WV 25702-1236. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Moore, Charles K can be contacted via phone (304) 399-7533.

Contact Information

Primary practice address
2828 1St Ave Suite 510 Huntington WV 25702-1236
Phone: (304) 399-7533
Fax: (304) 399-7507
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4411P Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 50644 West Virginia

Profile Details

NPI number 1447227285
LBN Legal business name Moore, Charles K
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Apr 22nd, 2021 - about 5 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 1447227285 NPPES
Kentucky MEDICAID 7100008460
Kentucky Other P00892178
Kentucky MEDICAID 2654266
Kentucky MEDICAID 3810004812

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