Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH E MOORE, PA C
ActiveKENNETH E MOORE, PA C is a Physician Assistant healthcare provider located in WALLA WALLA, Washington. NPI 1013023407 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · WALLA WALLA, WA
Registration Details
- NPI Number
- 1013023407
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 21, 2006 (19.962563803216 yrs)
- Last Updated
- Jun 30, 2009
- License
-
PA10003031 (WA)
Practice Information
- Address
-
1313 N 13TH AVEWALLA WALLA, WA, 993628817Browse WA providers · Browse ZIP 99362
- Phone
- 5092002852
- Fax
- 5095225899
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in WALLA WALLA, WA
| Name | Credential | NPI |
|---|---|---|
| KENNETH V BUSBY | B.S. / B.A. | 1508830423 |
| DOUGLAS EDISON WEST | PAC | 1104884295 |
| DEREK E SUCHARDA | PAC | 1639282981 |
| MR. HERBERT L SMEED | P.A. | 1457466187 |
| JAMES A HANSEN | PA C | 1861504243 |
| MRS. ROCHELLE A, TRUSSELL | PA-C | 1831270065 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.