Individual
DR. KELLY L MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4500 E 9TH AVE, SUITE 470, DENVER, CO 80220-3912
(303) 320-8499
(303) 320-8620
Mailing address
4900 S MONACO ST, SUITE 210, DENVER, CO 80237-3486
(303) 320-8499
(303) 320-8620
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
40114
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00820041
—
CO
05
—
201073340A
—
KS
Enumeration date
10/13/2005
Last updated
02/08/2022
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