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DAVID P. MOORE M.D. PLLC NPI 1770772980


NPI Information

NPI: 1770772980
Provider Name: DAVID P. MOORE, M.D., PLLC
Classification: Psychiatry & Neurology - 2084B0040X
Entity Type: Organization

Specialization: Behavioral Neurology & Neuropsychiatry

Address:
402 BROWNS LN
LOUISVILLE, KY
ZIP 40207
Phone: (502) 552-4633
Get Directions

DAVID P. MOORE, M.D., PLLC is a behavioral neurology and neuropsychiatry psychiatry neurology in Louisville, KY. The provider is behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues. DAVID P. MOORE, M.D., PLLC NPI is 1770772980. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

402 BROWNS LN
LOUISVILLE, KY
ZIP 40207-040
Phone: (502) 552-4633
Fax: (502) 895-7997

The provider's authorized official is David Pringle Moore .
The authorized official title is Owner/physician and has the following contact phone number (502) 552-4633.

The enumeration date for this NPI number is 10/24/2007 and was last updated on 4/24/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084B0040XPsychiatry & NeurologyBehavioral Neurology & Neuropsychiatry19307KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17290MEDICARE PINKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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