Individual
MS. KELLY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
1101 VAN NESS AVE, SAN FRANCISCO, CA 94109-6919
(314) 600-6000
Mailing address
1015 PIERCE ST APT 201, SAN FRANCISCO, CA 94115-4571
(314) 780-5672
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN95030742
CA
Other
Enumeration date
04/08/2020
Last updated
04/08/2020
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