Mrs Sally J Moore, PA-C | |
2490 Oka St, Kilauea, HI 96754-5332 | |
(808) 828-1418 | |
(808) 828-1666 |
Full Name | Mrs Sally J Moore |
---|---|
Gender | Female |
Speciality | Physician Assistant - Medical |
Location | 2490 Oka St, Kilauea, Hawaii |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942243944 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363AM0700X | Physician Assistant - Medical | 16 (Hawaii) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mrs Sally J Moore, PA-C 3667 Anini Rd, Kilauea, HI 96754-5212 Ph: (808) 828-1150 | Mrs Sally J Moore, PA-C 2490 Oka St, Kilauea, HI 96754-5332 Ph: (808) 828-1418 |
Mr. James L Winkler, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2460 Oka St, Kilauea, HI 96754 Phone: 808-828-2885 Fax: 808-828-0119 | |
Jon-michael Allen, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2490 Oka St, Kilauea, HI 96754 Phone: 808-828-1418 Fax: 808-828-1666 |