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

Dr. Michael Kirk Moore Jr., MD, PC

Individual provider Plastic and Reconstructive Surgery Physician · NPI 1306064860

Dr. Michael Kirk Moore Jr., MD, PC is a Plastic and Reconstructive Surgery Physician in Idaho Falls, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2860 Channing Way Ste 213
Idaho Falls, ID 83404-7531
Phone: (208) 552-1406
Fax: (208) 552-1416
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence M-8270 (ID)

Record details

NPI number1306064860
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , PC
Sole proprietorYes
NPI enumeratedApril 23, 2007
Last updated in NPPESMarch 7, 2023

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