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Contact Information

KATHY J MOYER, PA
OLD ROUTE 220
TIPTON, PA16684
 Phone: 814-684-4600
 Fax: 814-684-5557
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KATHY J MOYER · (Female)

NPI Number 1235269556
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 03/06/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MA001092L
  • PA Medicaid 0009410110001
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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