Active NPIIndividual providerSole proprietor

Keith L Moore, PA-C

Physician Assistant in Christiansted, U.S. Virgin Islands

NPI Number1902190572
Practice location
4007 Estate Diamond Ruby, Christiansted, VI 00820-4435
Fax
—
Last updated
June 1, 2011

Keith Louis Moore is a Physician Assistant based in Christiansted, VI. Keith Louis Moore practices in Christiansted, VI and has the professional credentials of PA-C. The NPI Number for Keith Louis Moore is 1902190572 and holds a License No. PA3389 (FL). The current practice location address for Keith Louis Moore is 4007 Estate Diamond Ruby, Christiansted, VI 00820-4435 and can be reached out via phone at 340-778-6311.

Provider Profile Details

NPI Number
1902190572
Provider Name
Keith Louis Moore
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
4007 Estate Diamond Ruby, Christiansted, VI 00820-4435
Phone Number
340-778-6311
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 1, 2011
Last Update Date
June 1, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
4007 Estate Diamond Ruby
Christiansted, VI 00820-4435
Zip
00820-4435
Phone Number
340-778-6311
Christiansted, VI 00820Get directions →

Provider Business Mailing Address Details

Address
1374 Meadows Blvd
Weston, FL 33327-1804
City
Weston
State
FL
Zip
33327-1804
Phone Number
954-288-7860

License Information

License Number
PA3389
License State
FL
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

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

Other Physician Assistants near Christiansted, VI

View all Physician Assistants in Christiansted →

Frequently Asked Questions

What is the NPI number of Keith L Moore, PA-C?

The NPI number of Keith L Moore, PA-C is 1902190572. It was assigned on June 1, 2011 and is currently active in the NPPES registry.

What is the specialty of Keith L Moore, PA-C?

Keith L Moore, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in FL under license number PA3389.

Where does Keith L Moore, PA-C practice?

The practice location is 4007 Estate Diamond Ruby, Christiansted, VI 00820-4435. The office can be reached at 340-778-6311 (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 1902190572 directly on the NPPES registry website.

Browse related providers