Individual provider · Type 1 NPI

Senan Isabelle Kakpo-Moore, PA-C

Physician Assistant · Victorville, CA

NPI number 1629670203 Active

Practice location

12998 Hesperia Rd Ste 204
Victorville, CA 92395-8317

Call (760) 780-4960 Map

Fax (760) 780-4964

Mailing address

104 Woodmont Blvd Ste 500
Nashville, TN 37205-2245

Specialties and licenses

Taxonomy	Code	License
Physician Assistant	363A00000X	None listed
Physician Assistant Primary	363A00000X	PA60419 (CA)

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 1629670203

Senan Isabelle Kakpo-Moore, PA-C's National Provider Identifier is 1629670203, issued on Nov 10, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Victorville, CA. The record was last updated on Aug 30, 2023.