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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHELLE STOYANOV MOORE, PA-C

Active

MICHELLE STOYANOV MOORE, PA-C is a Physician Assistant healthcare provider located in KENTLAND, Indiana. NPI 1457198160 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · KENTLAND, IN

Registration Details

NPI Number
1457198160
Provider Type
Individual
Gender
Female
NPI Issued
Jul 10, 2024 (2.079696595529 yrs)
Last Updated
Dec 1, 2025
License
10004666A (IN)

Practice Information

Address
303 N 7TH ST
KENTLAND, IN, 479511379
Browse IN providers · Browse ZIP 47951
Phone
2194745464
Primary Specialty
Physician Assistant
363A00000X
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.