Individual
KELLY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1507 BROAD BLVD, CUYAHOGA FALLS, OH 44223-2434
(330) 714-9810
(330) 543-3539
Mailing address
1507 BROAD BLVD, CUYAHOGA FALLS, OH 44223-2434
(330) 714-9810
(330) 543-3539
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
229524
SC
163W00000X
Registered Nurse
Primary
RN-316271
OH
Other
Enumeration date
05/18/2015
Last updated
05/18/2015
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