Individual
KELSEY BOSWELL MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 638-9175
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-140539
AL
363L00000X
Nurse Practitioner
Primary
1-140539
AL
363LP0200X
Pediatric Nurse Practitioner
1-140539
AL
Other
Enumeration date
03/21/2020
Last updated
06/23/2025
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