Individual provider · Type 1 NPI

Shawnas Monique Moore

Prosthetics Case Management · Louisville, KY

NPI number 1306480967 Active

Practice location

3007 Dr William G Weathers Dr
Louisville, KY 40211-1891

Mailing address

113 Hillside Cir
Charlestown, IN 47111-1008

Specialties and licenses

TaxonomyCodeLicense
Specialist 174400000X700005277 (KY)
Prosthetics Case Management Primary 1744P3200X700005277 (KY)

Prosthetics Case Management: A case manager who provides services for patients with prosthetics.

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About NPI 1306480967

Shawnas Monique Moore's National Provider Identifier is 1306480967, issued on Nov 6, 2019. The primary taxonomy on file is Prosthetics Case Management (1744P3200X), and the practice location is in Louisville, KY. The record was last updated on Feb 3, 2020.