| 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 |