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

Individual provider Physician Assistant · NPI 1730637307

Kody Moore, PA-C is a Physician Assistant in Danville, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2016.

Licensed in
PA
In the registry since
2016
Specialties on file
2
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

100 N Academy Ave
Danville, PA 17822-9800
Phone: (570) 214-7967
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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 MA058390 (PA)
Physician Assistant Taxonomy 363A00000X · Licence OA003864 (PA)

Record details

NPI number1730637307
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 13, 2016
Last updated in NPPESSeptember 1, 2020
Certification dateSeptember 1, 2020
Mailing address100 N Academy Ave, Danville, PA 17822-4903

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