Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK C MOORE II, MD
ActiveJACK C MOORE II, MD is a Family Medicine healthcare provider located in LOUISVILLE, Kentucky. NPI 1164443529 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · LOUISVILLE, KY
Registration Details
- NPI Number
- 1164443529
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 21, 2006 (20.06606543694 yrs)
- Last Updated
- Aug 19, 2019
- Licenses
-
34365 (KY)01069727A (IN)
Practice Information
- Address
-
175 S ENGLISH STATION RD STE 226LOUISVILLE, KY, 40245Browse KY providers · Browse ZIP 40245
- Phone
- 5022440911
- Fax
- 5022530581
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in LOUISVILLE, KY
| Name | Credential | NPI |
|---|---|---|
| JONATHAN A BECKER | MD | 1235132333 |
| DR. DENNIS S GRAY | M.D. | 1942202288 |
| ELIZABETH ROUSE WONG | MD | 1891799847 |
| MICHAEL JAMES GAFFNEY | MD | 1013911809 |
| DR. JAMES OBRIEN | M.D. | 1740284553 |
| DR. JAMES A. WRIGHT | M.D. | 1245234053 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.