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

James Broderick Moore

Individual provider Athletic Trainer · NPI 1285392191

James Broderick Moore is an Athletic Trainer in Mt Sterling, Kentucky. Licensed in Kentucky. Registered with an NPI since 2021.

Licensed in
KY
In the registry since
2021

Practice location Address checks out

209 Evans Ave
Mt Sterling, KY 40353-9700
Phone: (859) 498-0011
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT1940 (KY)

Record details

NPI number1285392191
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 8, 2021
Last updated in NPPESDecember 8, 2021
Certification dateDecember 8, 2021
Mailing address150 Johnstan St, Owingsville, KY 40360-2029

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