Moore, Keith Louis
Moore, Keith Louis is an sole proprietor health care provider with primary practice located at 4007 Estate Diamond Ruby , Christiansted VI 00820-4435. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Moore, Keith Louis can be contacted via phone (340) 778-6311.Contact Information
Primary practice address
4007 Estate Diamond Ruby
Christiansted VI 00820-4435
Phone: (340) 778-6311
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA3389 | Florida |
Profile Details
| NPI number | 1902190572 |
|---|---|
| LBN Legal business name | Moore, Keith Louis |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 1st, 2011 |
| Last updated | Jun 1st, 2011 - about 15 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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