Individual provider · Type 1 NPI

Kendra Moore, PA-C

Medical Physician Assistant · Passaic, NJ

NPI number 1346690583 Active

Practice location

350 Boulevard
Passaic, NJ 07055-2840

Mailing address

9 Vose Ave, Apartment 215
South Orange, NJ 07079-2007

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X25MP00398900 (NJ)

Medical Physician Assistant: Definition to come...

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About NPI 1346690583

Kendra Moore, PA-C's National Provider Identifier is 1346690583, issued on Jun 19, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Passaic, NJ. The record was last updated on Jun 19, 2016.