Moore, Kelly L
Moore, Kelly L is an individual health care provider with primary practice located at 4500 E 9Th Ave Suite 470, Denver CO 80220-3912. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Moore, Kelly L can be contacted via phone (303) 320-8499.Contact Information
Primary practice address
4500 E 9Th Ave Suite 470
Denver CO 80220-3912
Phone: (303) 320-8499
Fax: (303) 320-8620
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 40114 | Colorado |
Profile Details
| NPI number | 1366430241 |
|---|---|
| LBN Legal business name | Moore, Kelly L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2005 |
| Last updated | Feb 8th, 2022 - 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 | 1366430241 | NPPES |
| Kansas | MEDICAID | 201073340A | |
| Kansas | MEDICAID | 00820041 |
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