DANIEL MOORE

EDGEWOOD, KY
NPI1639160674
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: KY  036799)
Additional Taxonomies163W00000X Registered Nurse
(Licence: KY  1041947)
Enumeration Date2005-10-31
Last Update Date2012-08-28
Business Address
-- DANIEL MOORE CRNA
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017-3403
Phone number: 859-341-7246
Mailing Address
-- DANIEL MOORE CRNA
20 MEDICAL VILLAGE DR SUITE 258
EDGEWOOD, KY 41017-5401
Phone number: 859-341-7246