| Doctor Name: | KATHY JOANN MOYER |
| NPI Number: | 1235269556 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.A. |
| License Number: | MA001092L |
| Business Practice Address: | Old Route 220 Tipton, PA - 16684 |
| Business Phone Number: | 8146844600 |
| Business Fax Number: | 8146845557 |
| Mailing Address: | Po Box 334, TIPTON |
| State: | PA |
| Postal Code: | 16684 |
| Phone Number: | 8146844600 |
| Fax Number: | 8146845557 |
| NPI Enumeration Date: | 03/06/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | MA001092L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |