Individual provider · Type 1 NPI
Kelley Marie Moody, NP-C
Family Nurse Practitioner · Hartsville, SC
NPI number
1194358317
Active
Practice location
702 W Carolina Ave
Hartsville, SC 29550-4412
Fax (843) 951-9989
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 23682 (SC) |
Family Nurse Practitioner: Definition to come...
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About NPI 1194358317
Kelley Marie Moody, NP-C's National Provider Identifier is 1194358317, issued on Feb 17, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Hartsville, SC. The record was last updated on Oct 13, 2026.