Provider Demographics
NPI:1497844260
Name:MORA, VALERY LYNN (PA)
Entity type:Individual
Prefix:
First Name:VALERY
Middle Name:LYNN
Last Name:MORA
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:VALERY
Other - Middle Name:MORA
Other - Last Name:KEPLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:8903 CLEAR SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:OAK RIDGE
Mailing Address - State:NC
Mailing Address - Zip Code:27310-9809
Mailing Address - Country:US
Mailing Address - Phone:364-202-1833
Mailing Address - Fax:
Practice Address - Street 1:340 HERNDON LN
Practice Address - Street 2:
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-6572
Practice Address - Country:US
Practice Address - Phone:828-434-8668
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC102118363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCS23409Medicare UPIN