Individual
KELLY SUE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1151 N ROCK RD, WICHITA, KS 67206-1262
(316) 634-3693
Mailing address
12509 W KENNY CIR, WICHITA, KS 67235-1956
(316) 651-3482
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
1104142
KS
Other
Enumeration date
08/20/2025
Last updated
08/20/2025
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