Moore, Kelley Rene

Moore, Kelley Rene is an sole proprietor health care provider with primary practice located at 4425 Jefferson Ave Suite 106, Texarkana AR 71854-1535. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Moore, Kelley Rene can be contacted via phone (870) 216-1700.

Contact Information

Primary practice address
4425 Jefferson Ave Suite 106 Texarkana AR 71854-1535
Phone: (870) 216-1700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1205026531
LBN Legal business name Moore, Kelley Rene
Credentials MHPP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2007
Last updated Aug 1st, 2007 - about 18 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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