Individual provider · Type 1 NPI

Stephanie T. Moore, PA-C

Physician Assistant · Nicholasville, KY

NPI number 1356082390 Active

Practice location

110 Village Pkwy
Nicholasville, KY 40356-2327

Call (859) 887-8400 Map

Fax (859) 885-8448

Mailing address

1221 S Broadway
Lexington, KY 40504-2701

Other practice locations

  • 245 Fountain Ct Ste 120, Lexington, KY 40509-2792 · (859) 218-2626

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XPA3105 (KY)
Surgical Physician Assistant 363AS0400XPA3105 (KY)
Physician Assistant Primary 363A00000XPA3105 (KY)

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…

14 other providers at this address

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About NPI 1356082390

Stephanie T. Moore, PA-C's National Provider Identifier is 1356082390, issued on Apr 5, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Nicholasville, KY. The record was last updated on Feb 4, 2026.