Whalio Doctors

NPI 1730226515

Trudy Ann Moore, MD

Practitioner Family Medicine Physician Jackson, KY

Practice location

Address
265 Highway 15 S, Jackson, KY 41339-7370
Phone
(606) 464-0151
Mailing address
890 Lakeside Dr, Jackson, KY 41339-7487

Registered specialties

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 24633 (KY)

Registry record

NPI
1730226515
Entity type
Individual
Sex (as registered)
Female
NPI issued
31 Jan 2007
Record last updated
7 Mar 2023

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.