KENNETH MOORE, PA C
Physician Assistant
Active
Individual
NPI: 1013023407
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | PA10003031 (WA) |
Frequently Asked Questions
NPI 1013023407 is the National Provider Identifier for KENNETH MOORE, PA C, a Physician Assistant provider located in Walla Walla, WA. This NPI was enumerated on August 21, 2006.
KENNETH MOORE, PA C practices at 1313 N 13TH AVE, Walla Walla, WA 99362.
Quick Facts
- NPI
- 1013023407
- Type
- Individual
- Enumerated
- Aug 21, 2006
- Last Updated
- Jun 30, 2009
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