Individual
KELSEY LYNN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 439-0227
Mailing address
8 CAVOUR CIR, WEST BOYLSTON, MA 01583-1906
(508) 439-0227
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2295244
MA
Other
Enumeration date
12/18/2016
Last updated
08/05/2021
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