Individual provider · Type 1 NPI
Mykenzie Moore
Medical Physician Assistant · Transfer, PA
NPI number
1245135656
Active
Practice location
289 Hamburg Rd
Transfer, PA 16154-2601
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | MA068390 (PA) |
Medical Physician Assistant: Definition to come...
About NPI 1245135656
Mykenzie Moore's National Provider Identifier is 1245135656, issued on Oct 14, 2026. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Transfer, PA. The record was last updated on Oct 14, 2026.