Individual provider · Type 1 NPI

Kellye Moore

Rehabilitation Practitioner · Los Angeles, CA

NPI number 1700503273 Active

Practice location

1721 Griffin Ave
Los Angeles, CA 90031-3312

Call (323) 221-3231 Map

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1700503273

Kellye Moore's National Provider Identifier is 1700503273, issued on Oct 25, 2022. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 22, 2025.