Moore, Kelley C

Moore, Kelley C is an sole proprietor health care provider with primary practice located at 101 Bodin Cir , Travis Afb CA 94535-1809. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Moore, Kelley C can be contacted via phone (937) 668-2438.

Contact Information

Primary practice address
101 Bodin Cir Travis Afb CA 94535-1809
Phone: (937) 668-2438
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209 Alaska

Profile Details

NPI number 1639165343
LBN Legal business name Moore, Kelley C
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2005
Last updated Nov 5th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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