Michelle Stoyanov Moore, PA-C

NPI #1457198160 in Kentland, Indiana

Provider Information

NPI Number: 1457198160
Entity Type: Individual
Name: Michelle Stoyanov Moore, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jul 10, 2024
Last Updated: Dec 1, 2025

Practice Location

Address: 303 N 7TH ST
City: Kentland
State: Indiana
ZIP Code: 47951-1379
Phone: (219) 474-5464

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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