JONATHAN MOORE

MADISONVILLE, KY
NPI1780095729
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: KY  49744)
Enumeration Date2014-05-13
Last Update Date2018-06-13
Business Address
JONATHAN MOORE
200 CLINIC DR
MADISONVILLE, KY 42431
Phone number: 270-825-6688
Mailing Address
JONATHAN MOORE
2501 KENTUCKY AVE
PADUCAH, KY 42003-3813
Phone number: