Keith Louis Moore, PA-C
NPI #1902190572 in Christiansted, Virgin Islands
Provider Information
- NPI Number
- 1902190572
- Entity Type
- Individual
- Name
- Keith Louis Moore, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Jun 1, 2011
- Last Updated
- Jun 1, 2011
Practice Location
- Address
- 4007 ESTATE DIAMOND RUBY
- City
- Christiansted
- State
- Virgin Islands
- ZIP Code
- 00820-4435
- Phone
- (340) 778-6311
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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