Active NPIIndividual provider

Mrs. Kayleen M Moore, PA-C

Physician Assistant, Medical in Milton, Massachusetts

NPI Number1073940615
Practice location
100 Highland St, Suite 300, Milton, MA 02186-3881
Fax
—
Last updated
September 27, 2013

Kayleen M Moore is a Physician Assistant, Medical based in Milton, MA. Kayleen M Moore practices in Milton, MA and has the professional credentials of PA-C. The NPI Number for Kayleen M Moore is 1073940615 and holds a License No. PA4835 (MA). The current practice location address for Kayleen M Moore is 100 Highland St, Suite 300, Milton, MA 02186-3881 and can be reached out via phone at 617-698-8855.

Provider Profile Details

NPI Number
1073940615
Provider Name
Kayleen M Moore
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
100 Highland St, Suite 300, Milton, MA 02186-3881
Phone Number
617-698-8855
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
September 27, 2013
Last Update Date
September 27, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Highland St
Suite 300
Milton, MA 02186-3881
City
Milton
Zip
02186-3881
Phone Number
617-698-8855
Milton, MA 02186Get directions →

Provider Business Mailing Address Details

Address
100 Highland St
Suite 300
Milton, MA 02186-3881
City
Milton
State
MA
Zip
02186-3881
Phone Number
617-698-8855

License Information

License Number
PA4835
License State
MA
Taxonomy
Physician Assistant, Medical · 363AM0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Kayleen M Moore, PA-C?

The NPI number of Mrs. Kayleen M Moore, PA-C is 1073940615. It was assigned on September 27, 2013 and is currently active in the NPPES registry.

What is the specialty of Mrs. Kayleen M Moore, PA-C?

Mrs. Kayleen M Moore, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in MA under license number PA4835.

Where does Mrs. Kayleen M Moore, PA-C practice?

The practice location is 100 Highland St, Suite 300, Milton, MA 02186-3881. The office can be reached at 617-698-8855 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073940615 directly on the NPPES registry website.

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