Individual
AMANDA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2020 N WALDRON ST STE 105, HUTCHINSON, KS 67502-1145
(620) 513-4870
Mailing address
2020 N WALDRON ST STE 105, HUTCHINSON, KS 67502-1145
(620) 513-4870
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
08/25/2009
Last updated
02/07/2024
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