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1437648789
KENQUISHA MARIE MOORMAN
LOUISVILLE, KY
NPI
1437648789
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3012039)
Enumeration Date
2018-05-02
Last Update Date
2023-02-09
Business Address
KENQUISHA MARIE MOORMAN APRN
1930 BISHOP LN STE 1600
LOUISVILLE, KY 40218
Phone number: 502-272-5044
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Mailing Address
KENQUISHA MARIE MOORMAN APRN
PO BOX 776351
CHICAGO, IL 60677-6351
Phone number: 502-272-5063
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