NPI 1225105323

Jeffrey Keith Moore, MD

Practitioner Dermatology Physician Evansville, IN

Practice location

Address: 421 Chestnut St, Evansville, IN 47713-1227
Phone: (812) 426-9355
Fax: (812) 858-4539
Mailing address: PO Box 3868, Evansville, IN 47737-3868

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 01029516 (IN)

Other Dermatology providers in Indiana →

Registry record

NPI: 1225105323
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Nov 2006
Record last updated: 8 Jan 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.