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

Kevin Phillip Moore

Individual provider Physician Assistant · NPI 1265180871

Kevin Phillip Moore is a Physician Assistant in Binghamton, New York. Qualified in 2022, 4 years ago. Practices with Wellnow Urgent Care, PC, a 411-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2022
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Practice location Address checks out

169 Riverside Dr
Binghamton, NY 13905-4246
Phone: (607) 798-5231
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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 028505 (NY)

Record details

NPI number1265180871
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 13, 2022
Last updated in NPPESJuly 20, 2022
Certification dateJuly 20, 2022
Mailing address701 Dickson St, Endicott, NY 13760-4533

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Wellnow Urgent Care, P.C. — 411 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Binghamton