Provider Demographics
NPI:1497941413
Name:MOORE, KRISTIN ELAINE MAJORS (MD)
Entity Type:Individual
Prefix:DR
First Name:KRISTIN
Middle Name:ELAINE MAJORS
Last Name:MOORE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:KRISTIN
Other - Middle Name:M
Other - Last Name:MOORE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:793 EASTERN BYP
Mailing Address - Street 2:SUITE 213
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-2422
Mailing Address - Country:US
Mailing Address - Phone:859-624-6530
Mailing Address - Fax:859-624-6539
Practice Address - Street 1:793 EASTERN BYP
Practice Address - Street 2:SUITE 213
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-2422
Practice Address - Country:US
Practice Address - Phone:859-624-6530
Practice Address - Fax:859-624-6539
Is Sole Proprietor?:No
Enumeration Date:2007-09-24
Last Update Date:2020-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYTP378208600000X
KY46510208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery