Kenneth Moore, PA C
NPI 1013023407 · Physician Assistant · Walla Walla, WA
Kenneth Moore, PA C is a Physician Assistant provider in Walla Walla, WA (NPI 1013023407).
Provider details
- NPI number
- 1013023407
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA C
- Sex
- Male
- Sole proprietor
- No
- License
- PA10003031 (WA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-21
- Last updated
- 2009-06-30
Frequently asked questions
- What is Kenneth Moore's NPI number?
- Kenneth Moore's National Provider Identifier (NPI) is 1013023407, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Moore's specialty?
- Kenneth Moore is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kenneth Moore located?
- Kenneth Moore's practice location on file with NPPES is 1313 N 13th Ave, Walla Walla, WA 99362-8817.
- What is Kenneth Moore's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Moore is (509) 200-2852.
- Is Kenneth Moore's NPI active?
- Yes — Kenneth Moore's NPI (1013023407) is active in the NPPES registry as of the last update on 2009-06-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.