# MRS. DANYA M MOORE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1861688962
- **Gender:** F
- **Credential:** PAC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | — | KY | Yes |
| 363AM0700X | Medical Physician Assistant | PA1063 | KY | — |

## Other

- **Enumeration date:** 09/21/2007
- **Last updated:** 10/04/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000536383 | ANTHEM | — |
| 01 | — | 000000668071 | COOP HEALTH ANTHEM \# | KY |