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MRS. KIMBERLY ANN MOON PA-C

>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1194892273

Individual Registrant:
MRS. KIMBERLY ANN MOON PA-C
Gender: F
Not Sole Proprietor

Location and contact information for practice:
75 COLLEGE DR UNIVERSITY OF MONTEVALLO MONTEVALLO, AL 35115-3732 US
Tel: 205-665-6275  Fax: 205-665-8180

Contact information for business:
136 SILVERSTONE LN  ALABASTER, AL 35007-8525 US
Tel: --  Fax: --

Registration Information:
NPI: 1194892273
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
ALPA-083

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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