KELLY MOORE NPI 1770977563

NPI Information

NPI: 1770977563
Provider Name: KELLY MOORE
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
101 W 16TH ST # 1128
YUMA, AZ
ZIP 85364
Phone: (907) 931-8618
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Kelly Moore is a psychiatric/mental health nurse practitioner in Yuma, AZ. Kelly Moore NPI is 1770977563. 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:

101 W 16TH ST # 1128
YUMA, AZ
ZIP 85364-733
Phone: (907) 931-8618

The enumeration date for this NPI number is 3/19/2015 and was last updated on 11/22/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		37437	ALASKA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	162387	ALASKA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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