Moore, Melissa A

Moore, Melissa A is an individual health care provider with primary practice located at 318 S 7Th St , Mayfield KY 42066. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Moore, Melissa A can be contacted via phone (270) 251-3223.

Contact Information

Primary practice address
318 S 7Th St Mayfield KY 42066
Phone: (270) 251-3223
Fax: (270) 251-3220
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3007377 Kentucky

Profile Details

NPI number 1427320811
LBN Legal business name Moore, Melissa A
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2012
Last updated May 17th, 2018 - about 8 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 1427320811 NPPES
Kentucky Other 7100090800 MEDICAID GROUP
Kentucky Other 3007377 MEDICAID GROUP
Kentucky Other 193400000X MEDICAID GROUP
Kentucky MEDICAID 7100226010 MEDICAID GROUP
Kentucky Other 000000782080 MEDICAID GROUP

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