Search › Washington › 363A00000X
Kenneth Moore, PA C
NPI 1013023407 · on the registry since 2006
Practice
- Address
- 1313 N 13th Ave
Walla Walla, WA 99362 - Phone
- (509) 200-2852
- Fax
- (509) 522-5899
- Organisation at this address
- Maxim Healthcare Services, Inc.
Thompson & Thompson Physical Therapy, Ps
Washington State Department Of Corrections-Washington State PenitentiaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 20
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-06-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington