Individual provider · Type 1 NPI

Kelley E. Moon, MD

Family Medicine Physician · Nacogdoches, TX

NPI number 1255366035 Active

Practice location

1320 N University Dr Ste B
Nacogdoches, TX 75961-4270

Fax (936) 559-9701

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	L4067 (TX)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1255366035

Kelley E. Moon, MD's National Provider Identifier is 1255366035, issued on Jul 11, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Nacogdoches, TX. The record was last updated on Jan 21, 2026.