Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MYKENZIE MOORE
NPI 1245135656
Physician Assistant - Medical in Transfer, PA

Q: What is Mykenzie Moore's NPI number?

The NPI number for Mykenzie Moore is 1245135656. It was assigned to this individual provider in the NPPES registry on October 14, 2026.

Q: What is Mykenzie Moore's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Mykenzie Moore was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since October 14, 2026

289 HAMBURG RD, TRANSFER, PA 16154(724) 841-4625 Get Directions Write a Review

NPPES record added: October 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Mykenzie Moore NPPES

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

MYKENZIE MOORE (NPI 1245135656) is an individual medical provider in Transfer, Pennsylvania, licensed in Pennsylvania (MA068390) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1245135656

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMYKENZIE MOORE

Location Address289 HAMBURG RDTransfer, PA 16154-2601

Mailing Address289 Hamburg RdTransfer, PA 16154-2601

Phone(724) 841-4625

Sole ProprietorNo

Enumeration DateOctober 14, 2026

NPPES CertifiedOctober 14, 2026

✔ NPI 1245135656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in PA · MA068390

289 HAMBURG RD, Transfer, PA 16154

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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 Mykenzie Moore's NPI number?

The NPI number for Mykenzie Moore is 1245135656. It was assigned to this individual provider in the NPPES registry on October 14, 2026.

Where is Mykenzie Moore located?

Mykenzie Moore practices at 289 Hamburg Rd, Transfer, PA 16154. The listed phone number is (724) 841-4625.

What is Mykenzie Moore's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Mykenzie Moore was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.