Keith Fertey Moy, PA STUDENT

NPI #1275171795 in Elk River, Minnesota

Provider Information

NPI Number: 1275171795
Entity Type: Individual
Name: Keith Fertey Moy, PA STUDENT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA STUDENT
Enumeration Date: Dec 16, 2019
Last Updated: Sep 9, 2021

Practice Location

Address: 530 3RD ST NW
City: Elk River
State: Minnesota
ZIP Code: 55330-1445
Phone: (763) 587-4800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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