KENNETH E MOORE (PA C) – Physician Assistant, NPI 1013023407

KENNETH E MOORE (PA C) is a healthcare provider. based in Walla walla, Washington. specializing in Physician Assistant. They hold the professional credentials PA C. They hold a License No. PA10003031 (WA). The NPI Number for KENNETH E MOORE (PA C) is 1013023407

Main info

Male
Name
KENNETH E MOORE (PA C)
NPI
1013023407
Phone
(509) 200-2852
Address
615 UNIVERSITY ST
Enumeration Date
21 August 2006
Last Update Date
30 June 2009
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for KENNETH E MOORE (PA C)

  • 615, University Street, Walla Walla, Walla Walla County, Washington, 99362, United States

    WALLA WALLA, WA 993622338

    Phone: (509) 200-2852

    Type: Mailing

  • 1313, North 13th Avenue, Walla Walla, Walla Walla County, Washington, 99362-5024, United States

    WALLA WALLA, WA 993628817

    Phone: (509) 200-2852

    Fax: (509) 522-5899

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99362)

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Reviews

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Frequently asked questions

What is the registry number for KENNETH E MOORE (PA C)?
The registry entry for KENNETH E MOORE (PA C) shows NPI 1013023407.
Should I treat KENNETH E MOORE (PA C) as an active provider?
Patients and plans typically see KENNETH E MOORE (PA C) as active in the national extract.
Which specialty label fits KENNETH E MOORE (PA C)?
NPPES ties KENNETH E MOORE (PA C) to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KENNETH E MOORE (PA C)?
KENNETH E MOORE (PA C) is associated with Walla Walla, Washington in the same public data insurers reference.
Who maintains KENNETH E MOORE (PA C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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