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NPI Code Detail

MEDICARE: JASON LEE MOOL PA

MEDICARE: JASON LEE MOOL PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1194301382
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASON LEE MOOL PA
Provider Business Mailing Address
First Line : 650 HUEBNER RD
Second Line :
City : FORT RILEY
State : KS
Zip : 66442-4030
Country : US
Telephone Number : 785-239-4411
Fax Number : 630-570-5779
Provider Business Practice Location Address
First Line : 650 HUEBNER RD
Second Line :
City : FORT RILEY
State : KS
Zip : 66442-4030
Country : US
Telephone Number : 785-239-4411
Fax Number : 630-570-5779
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2021
Last Update Date : 04/08/2026

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Directions to “ JASON LEE MOOL PA” Practice Location

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