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Individual

KELLY MOORE SUTHERLAND

Active
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Individual

KELLY MOORE SUTHERLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
04849
KY
2084P0800X
Psychiatry Physician
R4811
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100616800
KY
Enumeration date
03/27/2018
Last updated
08/21/2026
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