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

Jeffrey Duane Moore I, SPECIALIST

Individual provider Prosthetics Case Management · NPI 1093599318

Jeffrey Duane Moore I, SPECIALIST is a Prosthetics Case Management in Cincinnati, Ohio. Licensed in Ohio. Registered with an NPI since 2023.

Licensed in
OH
In the registry since
2023
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Practice location Address checks out

2601 Short Vine St
Cincinnati, OH 45219-2016
Phone: (513) 646-5126
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Specialties & licences

Prosthetics Case Management (primary) Taxonomy 1744P3200X · Licence 054658 (OH)

Record details

NPI number1093599318
Entity typeIndividual (Type 1)
GenderMale
Credentials SPECIALIST
Sole proprietorNo
NPI enumeratedAugust 21, 2023
Last updated in NPPESAugust 21, 2023
Certification dateAugust 20, 2023

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