James Broderick Moore
NPI #1285392191 in Mt Sterling, Kentucky
Provider Information
- NPI Number
- 1285392191
- Entity Type
- Individual
- Name
- James Broderick Moore
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Dec 8, 2021
- Last Updated
- Dec 8, 2021
Practice Location
- Address
- 209 EVANS AVE
- City
- Mt Sterling
- State
- Kentucky
- ZIP Code
- 40353-9700
- Phone
- (859) 498-0011
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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