Moore, Kelsey Jo

Moore, Kelsey Jo is an individual health care provider with primary practice located at 3631 N Morrison Rd , Muncie IN 47304-5547. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Moore, Kelsey Jo can be contacted via phone (765) 213-6304.

Contact Information

Primary practice address
3631 N Morrison Rd Muncie IN 47304-5547
Phone: (765) 213-6304
Fax: (765) 213-6304
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 71005216A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 28189740A Indiana

Profile Details

NPI number 1104220086
LBN Legal business name Moore, Kelsey Jo
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2014
Last updated Mar 18th, 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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