DR. Kelley E Moon, M.D. is a clinic center in Nacogdoches, TX. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). DR. Kelley E Moon, M.D. NPI is 1255366035. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1320 N UNIVERSITY DR
NACOGDOCHES, TX
ZIP 75961-269
Phone: (936) 564-7206
Fax: (936) 559-9701
The NPI 1255366035 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The CLIA number assigned to this NPI record is 45D1003488 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/11/2006 and was last updated on 7/8/2007.