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NPI Code Detail

MEDICARE: DENISE ANN GORE FNP

MEDICARE: DENISE ANN GORE FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner201537NC
2363LF0000XFamily Nurse Practitioner2171PKY
3363LF0000XFamily Nurse Practitioner3002171KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811098106
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENISE ANN GORE FNP
Provider Business Mailing Address
First Line : 333 BEACON HILL RD STE 201
Second Line :
City : MOREHEAD
State : KY
Zip : 40351-6182
Country : US
Telephone Number : 606-780-0444
Fax Number : 606-796-6221
Provider Business Practice Location Address
First Line : 333 BEACON HILL RD STE 201
Second Line :
City : MOREHEAD
State : KY
Zip : 40351-6182
Country : US
Telephone Number : 606-780-0444
Fax Number : 606-784-2344
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2006
Last Update Date : 03/15/2026

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