Individual
KELLY N MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSSW, LCSW
Contact information
Practice address
1030 MONARCH ST STE 100, LEXINGTON, KY 40513-1820
(216) 468-5000
(216) 456-8128
Mailing address
4800 N SCOTTSDALE RD STE 2500, SCOTTSDALE, AZ 85251-7630
(216) 468-5000
(216) 456-8128
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3530
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100290050
—
KY
Enumeration date
02/07/2007
Last updated
07/08/2026
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