NPI 1902190572

Keith Louis Moore, PAC

Practitioner Physician Assistant Christiansted, VI

Practice location

Address: 4007 Estate Diamond Ruby, Christiansted, VI 00820-4435
Phone: (340) 778-6311
Mailing address: 1374 Meadows Blvd, Weston, FL 33327-1804

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA3389 (FL)

Other Physician Assistant providers in U.S. Virgin Islands →

Registry record

NPI: 1902190572
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Jun 2011
Record last updated: 1 Jun 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.