Individual provider · Type 1 NPI

Kyle Jordan Moore, PA

Medical Physician Assistant · La Crosse, WI

NPI number 1811476773 Active

Practice location

1836 South Ave
La Crosse, WI 54601-5429

Call (608) 782-7300 Map

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X4463 (WI)

Medical Physician Assistant: Definition to come...

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About NPI 1811476773

Kyle Jordan Moore, PA's National Provider Identifier is 1811476773, issued on Aug 11, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in La Crosse, WI. The record was last updated on Aug 11, 2018.