Individual provider · Type 1 NPI

Kelly Therese Moore, RN, DNP STUDENT

Ambulatory Care Registered Nurse · Chicago, IL

NPI number 1114516812 Active

Practice location

3240 W Division St
Chicago, IL 60651-2405

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Care Registered Nurse Primary 163WP2201X041487884 (IL)

Ambulatory Care Registered Nurse: Definition to come...

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About NPI 1114516812

Kelly Therese Moore, RN, DNP STUDENT's National Provider Identifier is 1114516812, issued on Jan 16, 2021. The primary taxonomy on file is Ambulatory Care Registered Nurse (163WP2201X), and the practice location is in Chicago, IL. The record was last updated on Jan 16, 2021.