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

Keaton Dalaina Moore, PA-C

Individual provider Physician Assistant · NPI 1548016488

Keaton Dalaina Moore, PA-C is a Physician Assistant in South Charleston, West Virginia. Qualified in 2024, 2 years ago. Practices with Family Health Associates of the Kanawha Valley PLLC, a 6-clinician group, accepts Medicare assignment and offers telehealth. Licensed in West Virginia.

Years since qualifying
2
Licensed in
WV
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

509 2nd Ave
South Charleston, WV 25303-1310
Phone: (304) 720-3555
Fax: (304) 720-3556
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3034 (WV)

Record details

NPI number1548016488
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 29, 2024
Last updated in NPPESDecember 4, 2025
Certification dateDecember 4, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Family Health Associates Of The Kanawha Valley Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in South Charleston