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

Mr. Kevin Patricio Mora, PA

Individual provider VA Clinic/Center · NPI 1942789151

Mr. Kevin Patricio Mora, PA is a VA Clinic/Center in Columbus, Ohio. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

111 S Grant Ave
Columbus, OH 43215-4701
Phone: (614) 566-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 420 N James Rd, Columbus, OH 43219-1834 — (614) 257-5200

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
VA Clinic/Center Taxonomy 261QV0200X
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1942789151
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedAugust 8, 2018
Last updated in NPPESFebruary 11, 2025
Certification dateFebruary 11, 2025

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