Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brandon Ray Moore

Individual provider Athletic Trainer · NPI 1649877507

Brandon Ray Moore is an Athletic Trainer in Crestview Hills, Kentucky. Licensed in Kentucky. Registered with an NPI since 2020.

Licensed in
KY
In the registry since
2020

Practice location Address checks out

333 Thomas More Pkwy
Crestview Hills, KY 41017-3428
Phone: (858) 341-5800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence TCA906 (KY)

Record details

NPI number1649877507
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 5, 2020
Last updated in NPPESOctober 5, 2020
Certification dateOctober 5, 2020
Mailing address333 Thomas More Pkwy, Crestview Hills, KY 41017-3428

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