Moore, Kelly
Moore, Kelly is an individual health care provider with primary practice located at 101 W 16Th St # 1128 , Yuma AZ 85364-4733. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Moore, Kelly can be contacted via phone (907) 931-8618.Contact Information
Primary practice address
101 W 16Th St # 1128
Yuma AZ 85364-4733
Phone: (907) 931-8618
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 37437 | Alaska |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 162387 | Alaska |
Profile Details
| NPI number | 1770977563 |
|---|---|
| LBN Legal business name | Moore, Kelly |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 19th, 2015 |
| Last updated | Nov 22nd, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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