Shawnas Monique Moore
NPI #1306480967 in Louisville, Kentucky
Provider Information
- NPI Number
- 1306480967
- Entity Type
- Individual
- Name
- Shawnas Monique Moore
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist - Prosthetics Case Management
- Enumeration Date
- Nov 6, 2019
- Last Updated
- Feb 3, 2020
Practice Location
- Address
- 3007 DR WILLIAM G WEATHERS DR
- City
- Louisville
- State
- Kentucky
- ZIP Code
- 40211-1891
- Phone
- (312) 957-4247
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
| Specialist - Prosthetics Case Management — Prosthetics Case Management |
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