Individual
KELLY MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1235 CEDAR LANE RD, MIDDLETOWN, DE 19709-9636
(302) 449-3499
Mailing address
1235 CEDAR LANE RD, MIDDLETOWN, DE 19709-9636
(302) 449-3499
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
L1-0029187
DE
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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