NPI 1750715926

Shelly M Moore, CPM

Practitioner Midwife Summer Shade, KY

Practice location

Address: 696 Roy Grider Rd, Summer Shade, KY 42166-7631
Phone: (270) 590-8513

Registered specialties

Midwife Primary

Other Service Providers Taxonomy 176B00000X

Other Midwife providers in Kentucky →

Registry record

NPI: 1750715926
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Aug 2013
Record last updated: 23 Aug 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.