Individual
KELLY C MOORE LAWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, IBCLC, BSN
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
CDR819430
CO
133V00000X
Registered Dietitian
Primary
RN.1646745
CO
163W00000X
Registered Nurse
RN.1646745
CO
Other
Enumeration date
02/10/2007
Last updated
02/03/2026
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