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Individual

KELLI A MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
3301 TRINDLE RD, CAMP HILL, PA 17011-4413
(717) 412-7859
(717) 965-3214
Mailing address
3301 TRINDLE RD, CAMP HILL, PA 17011-4413
(717) 412-7859
(717) 965-3214

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP009629
PA
363LF0000X
Family Nurse Practitioner
Primary
SP009629
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102996254
PA
Enumeration date
12/11/2007
Last updated
03/24/2021
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