Individual
KENNETH E MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
1313 N 13TH AVE, WALLA WALLA, WA 99362-8817
(509) 200-2852
(509) 522-5899
Mailing address
615 UNIVERSITY ST, WALLA WALLA, WA 99362-2338
(509) 200-2852
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10003031
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1081678
—
WA
Enumeration date
08/21/2006
Last updated
06/30/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us