Individual provider · Type 1 NPI

Kenneth E. Moore, PA C

Physician Assistant · Walla Walla, WA

NPI number 1013023407 Active

Practice location

1313 N 13th Ave
Walla Walla, WA 99362-8817

Call (509) 200-2852 Map

Fax (509) 522-5899

Mailing address

615 University St
Walla Walla, WA 99362-2338

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA10003031 (WA)

Physician Assistant: 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 perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1013023407

Kenneth E. Moore, PA C's National Provider Identifier is 1013023407, issued on Aug 21, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Walla Walla, WA. The record was last updated on Jun 30, 2009.