Plumb-Moore, Kimerli

Plumb-Moore, Kimerli is an individual health care provider with primary practice located at 1484 Lakeside Drive , Jackson KY 41339-6555. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Plumb-Moore, Kimerli can be contacted via phone (606) 666-9950.

Contact Information

Primary practice address
1484 Lakeside Drive Jackson KY 41339-6555
Phone: (606) 666-9950
Fax: (606) 666-9136
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 26703 Kentucky

Profile Details

NPI number 1477540086
LBN Legal business name Plumb-Moore, Kimerli
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2005
Last updated Mar 13th, 2020 - 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 1477540086 NPPES
Kentucky MEDICAID 64267032

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