Moon, Keri Leigh

Moon, Keri Leigh is an individual health care provider with primary practice located at 1605 S 31St St , Temple TX 76508-3483. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Moon, Keri Leigh can be contacted via phone (254) 215-0100.

Contact Information

Primary practice address
1605 S 31St St Temple TX 76508-3483
Phone: (254) 215-0100
Fax: (979) 776-5624
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10170 Texas

Profile Details

NPI number 1982079315
LBN Legal business name Moon, Keri Leigh
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2015
Last updated Nov 24th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982079315 NPPES
Texas Other PA10170 PA LICENSE

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