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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KASEY WREN FLOYD MOORE
NPI 1144115239
Physician Assistant in Lake City, SC

Active since June 10, 2025
604 E MAIN ST, LAKE CITY, SC 29560(803) 460-3254 Get Directions Write a Review

NPPES record last updated: August 14, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 14, 2026, Jun 10, 2025 (2 updates tracked since 2025).

About Kasey Wren Floyd Moore NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KASEY WREN FLOYD MOORE (NPI 1144115239) is an individual physician assistant in Lake City, South Carolina and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1144115239
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKASEY WREN FLOYD MOORE
Location Address604 E MAIN STLake City, SC 29560-2228
Mailing Address3555 N Williamsburg County HwyCades, SC 29518-3008 · (843) 210-5000
Phone(803) 460-3254
Sole ProprietorNo
Enumeration DateJune 10, 2025
Last NPPES UpdateAugust 14, 20262 updates tracked since enumeration
NPPES CertifiedAugust 14, 2026
✔ NPI 1144115239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
604 E MAIN ST, Lake City, SC 29560
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kasey Wren Moore's NPI number?

The NPI number for Kasey Wren Moore is 1144115239. It was assigned to this individual provider in the NPPES registry on June 10, 2025.

Where is Kasey Wren Moore located?

Kasey Wren Moore practices at 604 E Main St, Lake City, SC 29560. The listed phone number is (803) 460-3254.

What is Kasey Wren Moore's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kasey Wren Moore was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.