Individual
KYLE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7603 WILBUR RD, NEW ALBANY, OH 43054-9783
(614) 940-1510
Mailing address
7603 WILBUR RD, NEW ALBANY, OH 43054-9783
(614) 940-1510
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.005912RX
OH
Other
Enumeration date
11/03/2018
Last updated
07/17/2025
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