Individual provider · Type 1 NPI
Kayla Anglin Moore, NP-C
Adult Medicine Physician · Grenada, MS
NPI number
1578082137
Active
Practice location
960 Avent Dr # 3W
Grenada, MS 38901-5230
Fax (662) 227-7723
Mailing address
506 Highway 330
Bruce, MS 38915-9594
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 902287 (MS) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 902287 (MS) |
| Adult Medicine Physician Primary | 207QA0505X | 902287 (MS) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
About NPI 1578082137
Kayla Anglin Moore, NP-C's National Provider Identifier is 1578082137, issued on Sep 14, 2017. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Grenada, MS. The record was last updated on Jul 17, 2026.