Kenneth E Moore in Walla Walla - Physician Assistant
Kenneth E Moore - NPI 1013023407
Kenneth E Moore is a Physician Assistant in Walla Walla, Washington. Kenneth E Moore practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kenneth E Moore is 1013023407. The last update date is 2009-06-30.
Kenneth E Moore's current location address is 615 University St, Walla Walla, Washington. You can contact this provider via phone number 5092002852. The mailing address for Kenneth E Moore is 615 University St, Walla Walla, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth E Moore |
|---|---|
| Address | 615 University St, Walla Walla, Washington |
| Phone Number | 5092002852 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA C |
NPI Number Detail
| NPI Number | 1013023407 |
|---|---|
| Provider Enumeration Date | 2006-08-21 |
| Last Updated Date | 2009-06-30 |
Provider Mailing Address Detail
| Address | 615 University St |
|---|---|
| City | Walla Walla |
| State | Washington (WA) |
| Post Code | 993622338 |
| Phone Number | 5092002852 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA10003031 |
|
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1081678 | WA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Kenneth E Moore by the Centers for Medicare & Medicaid Services?
The Kenneth E Moore has been assigned the NPI (National Provider Identifier) 1013023407. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Kenneth E Moore is located?
The Kenneth E Moore is situated at the following address: 615 University St, Walla Walla, WA, 993622338.
What is the area of specialization for Kenneth E Moore, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kenneth E Moore is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did the Kenneth E Moore receive its 1013023407 assignment from the Centers for Medicare & Medicaid Services?
The Kenneth E Moore was assigned its 1013023407 by the Centers for Medicare & Medicaid Services on 2006-08-21.
As of what date were the details pertaining to Kenneth E Moore last refreshed?
The information related to the Kenneth E Moore, including its address, specialty, and other relevant details, was last updated on 2009-06-30.