James Broderick Moore

Athletic Trainer · Mt Sterling, KY

Individual Active NPI

NPI number 1285392191

Practice location

209 Evans Ave
Mt Sterling, KY 40353-9700
Phone
(859) 498-0011

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NPI record

NPI
1285392191
Entity type
Individual (Type 1)
Enumeration date
December 8, 2021
Last updated
December 8, 2021
Certified
December 8, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X AT1940 KY

Mailing address

150 Johnstan St
Owingsville, KY 40360-2029
Phone
(606) 336-1756

About James Moore

James Broderick Moore is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 209 Evans Ave, Mt Sterling, KY 40353-9700. The NPI number 1285392191 was assigned on December 8, 2021 and the record was last updated on December 8, 2021.

James Moore lists a license in the registry: #AT1940 (KY) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of James Broderick Moore?

The NPI number is 1285392191.

What is the phone number of James Moore?

The phone number listed for the practice location is (859) 498-0011.

Where is James Moore located?

209 Evans Ave, Mt Sterling, KY 40353-9700.

What is the taxonomy code for James Moore?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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