Kimberly Ann Moon PA-C

NPI 1194892273 - Physician Assistant - 363A00000X

NPI Details
NPI 1194892273
Gender Female
Enumeration Date 11/30/2006
Last Updated 04/13/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
75 COLLEGE DR
UNIVERSITY OF MONTEVALLO
MONTEVALLO AL, 35115-3732, US
Phone (205) 665-6275
Fax (205) 665-8180
Business Location
136 SILVERSTONE LN
ALABASTER AL, 35007-8525, US
Phone
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Alabama
License Number PA-083
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According to our database, Mrs. Kimberly Ann Moon PA-C NPI is 1194892273, taxonomy code is 363A00000X and license number is PA-083, license state is located at Alabama. Kimberly Ann Moon PA-C physically located at 75 College Dr, Montevallo AL, 35115-3732. NPI Number Kimberly Ann Moon PA-C has the Individual type.

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1194892273 NPI number is provided on an as is basis without warranty of any kind. 1194892273 is maintained by the National Plan & Provider Enumeration System. The contents of Kimberly Ann Moon PA-C are for informational purposes only.