KEATON MOORE, PA-C
Physician Assistant
Active
Individual
NPI: 1548016488
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 3034 (WV) |
Frequently Asked Questions
NPI 1548016488 is the National Provider Identifier for KEATON MOORE, PA-C, a Physician Assistant provider located in South Charleston, WV. This NPI was enumerated on April 29, 2024.
KEATON MOORE, PA-C practices at 509 2ND AVE, South Charleston, WV 25303.
Quick Facts
- NPI
- 1548016488
- Type
- Individual
- Enumerated
- Apr 29, 2024
- Last Updated
- Dec 4, 2025
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