Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Moonah Inc

Organization Exclusive Provider Organization · NPI 1043027964

Moonah Inc is an Exclusive Provider Organization in West Hartford, Connecticut. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

82 Griswold Dr
West Hartford, CT 06119-3549
Phone: (302) 267-4679
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Exclusive Provider Organization (primary) Taxonomy 302F00000X

Record details

NPI number1043027964
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Luke Kist — Co -Founder · (251) 223-2212
Other names Moonah Health
NPI enumeratedDecember 13, 2024
Last updated in NPPESFebruary 10, 2025
Certification dateFebruary 10, 2025
Mailing address82 Griswold Dr, West Hartford, CT 06119-1146

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