Individual
PATRICIA ANN MOORE - KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1629 LOCUST ST, OMAHA, NE 68110-2014
(305) 924-4132
Mailing address
1629 LOCUST ST, OMAHA, NE 68110-2014
(305) 924-4132
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/03/2025
Last updated
07/03/2025
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