KENNETH E MOORE

WALLA WALLA, WA
NPI1013023407
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WA  PA10003031)
Enumeration Date2006-08-21
Last Update Date2009-06-30
Business Address
-- KENNETH E MOORE PA C
1313 N 13TH AVE
WALLA WALLA, WA 99362-8817
Phone number: 509-200-2852
Mailing Address
-- KENNETH E MOORE PA C
615 UNIVERSITY ST
WALLA WALLA, WA 99362-2338
Phone number: 509-200-2852
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