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

Mrs. Mary Kathryn Moore

Individual provider Physician Assistant · NPI 1508547787

Mrs. Mary Kathryn Moore is a Physician Assistant in Little Rock, Arkansas. Licensed in Arkansas. Registered with an NPI since 2023.

Licensed in
AR
In the registry since
2023

Practice location Address checks out

1 Childrens Way # 512-1
Little Rock, AR 72202-3500
Phone: (501) 364-1100
Fax: (501) 364-4082
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-1319 (AR)

Record details

NPI number1508547787
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 31, 2023
Last updated in NPPESDecember 9, 2024
Certification dateDecember 9, 2024

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