Individual provider · Type 1 NPI
Kelly Moore
Psychiatric/Mental Health Nurse Practitioner · Yuma, AZ
NPI number
1770977563
Active
Practice location
101 W 16th St # 1128
Yuma, AZ 85364-4733
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 37437 (AK) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 162387 (AK) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1770977563
Kelly Moore's National Provider Identifier is 1770977563, issued on Mar 19, 2015. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Yuma, AZ. The record was last updated on Nov 22, 2022.