Moore, Kelly Therese

Moore, Kelly Therese is an sole proprietor health care provider with primary practice located at 3240 W Division St , Chicago IL 60651-2405. She recently has only one registered license in Nursing Service Providers / Ambulatory Care, which is considered as her primary health care specialty. Moore, Kelly Therese can be contacted via phone (312) 413-7425.

Contact Information

Primary practice address
3240 W Division St Chicago IL 60651-2405
Phone: (312) 413-7425
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Ambulatory Care 163WP2201X 041487884 Illinois

Profile Details

NPI number 1114516812
LBN Legal business name Moore, Kelly Therese
Credentials RN, DNP STUDENT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 16th, 2021
Last updated Jan 16th, 2021 - about 5 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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