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

Kyle Von Moore, DO

Individual provider Family Medicine Physician · NPI 1154785616

Kyle Von Moore, DO is a Family Practice in Salt Lake City, Utah. Graduated from Pacific NW Un of Hs, Col of Osteopathic Medicine in 2016, 10 years ago. Practices with St Peters Health, a 206-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota and Utah.

Years since qualifying
10
Trained at
Pacific NW Un of Hs, Col of Osteopathic Medicine
Licensed in
MN, UT
In the registry since
2016
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

501 S Chipeta Way
Salt Lake City, UT 84108-1222
Phone: (801) 581-7951
Show map & directions

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

Additional practice locations (1)

  • 200 1st St Sw, Rochester, MN 55905-0001 — (507) 284-2511

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 11273463-1204 (UT)
Family Medicine Physician Taxonomy 207Q00000X · Licence 62587 (MN)
Addiction Medicine (Psychiatry & Neurology) Physician Taxonomy 2084A0401X · Licence 11273463-1204 (UT)

Record details

NPI number1154785616
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 11, 2016
Last updated in NPPESJune 18, 2019

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesADDICTION MEDICINE
Medical schoolPACIFIC NW UN OF HS, COL OF OSTEOPATHIC MEDICINE
Graduated 2016 (10 years in practice)
Group practice St Peters Health — 206 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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