Moore, Kelli A
Moore, Kelli A is an individual health care provider with primary practice located at 3301 Trindle Rd , Camp Hill PA 17011-4413. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Moore, Kelli A can be contacted via phone (717) 412-7859.Contact Information
Primary practice address
3301 Trindle Rd
Camp Hill PA 17011-4413
Phone: (717) 412-7859
Fax: (717) 965-3214
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | SP009629 | Pennsylvania |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | SP009629 | Pennsylvania |
Profile Details
NPI number | 1841473055 |
---|---|
LBN Legal business name | Moore, Kelli A |
Credentials | CRNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 11th, 2007 |
Last updated | Mar 24th, 2021 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1841473055 | NPPES |
Pennsylvania | MEDICAID | 102996254 |
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