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

Individual provider Physician Assistant · NPI 1518226240

Mrs. Kris Ann Moghadamian, PA-C is a Physician Assistant in Lexington, Kentucky. Graduated from University of Kentucky College of Medicine in 2011, 15 years ago. Practices with Modern Dermatology of Kentucky LLC, a 14-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
15
Trained at
University of Kentucky College of Medicine
Licensed in
KY
In the registry since
2012
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

177 Burt Rd
Lexington, KY 40503-2457
Phone: (859) 276-1511
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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 PA1734 (KY)
Physician Assistant Taxonomy 363A00000X · Licence TC106 (KY)

Record details

NPI number1518226240
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 15, 2012
Last updated in NPPESMarch 23, 2022
Certification dateMarch 23, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Modern Dermatology Of Kentucky Llc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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