Keaton Dalaina Moore, PA-C

NPI #1548016488 in South Charleston, West Virginia

Provider Information

NPI Number: 1548016488
Entity Type: Individual
Name: Keaton Dalaina Moore, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Apr 29, 2024
Last Updated: Dec 4, 2025

Practice Location

Address: 509 2ND AVE
City: South Charleston
State: West Virginia
ZIP Code: 25303-1310
Phone: (304) 720-3555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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