Doctor Name: | KAYA MOORE |
NPI Number: | 1659349785 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PAC |
License Number: | PA18798 |
Business Practice Address: | 1950 University Ave 160 East Palo Alto, CA - 943032250 |
Business Phone Number: | 6506178100 |
Business Fax Number: | 6503272947 |
Mailing Address: | 1950 University Ave, 160 EAST PALO ALTO |
State: | CA |
Postal Code: | 943032250 |
Phone Number: | 6506178100 |
Fax Number: | 6503272947 |
NPI Enumeration Date: | 03/14/2006 |
NPI Last Update Date: | 03/31/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA18798 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |