Moore, Grace D.

Moore, Grace D. is an individual health care provider with primary practice located at 2307 Greene Way , Louisville KY 40220-4009. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Moore, Grace D. can be contacted via phone (502) 897-9594.

Contact Information

Primary practice address
2307 Greene Way Louisville KY 40220-4009
Phone: (502) 897-9594
Fax: (502) 736-4456
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X 37065 Kentucky
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 37065 Kentucky

Profile Details

NPI number 1790762508
LBN Legal business name Moore, Grace D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Jul 29th, 2009 - 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 1790762508 NPPES
Indiana Other 200445300 MEDICAID
Indiana MEDICAID 64-074552 MEDICAID

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