Kelly L. Moore in San Diego - Mental Health

Kelly L. Moore - NPI 1174652762

Kelly L. Moore is a Mental Health in San Diego, California. Kelly L. Moore practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Kelly L. Moore is 1174652762. The last update date is 2007-07-08.

Kelly L. Moore's current location address is 531 16th St, San Diego, California. You can contact this provider via phone number 6192333432 and fax number 6192337022. The mailing address for Kelly L. Moore is 531 16th St, San Diego, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelly L. Moore
Address 531 16th St, San Diego, California
Phone Number 6192333432
Fax Number 6192337022
Sole Proprietor N
Credentials BSW

NPI Number Detail

NPI Number 1174652762
Provider Enumeration Date 2007-03-02
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 531 16th St
City San Diego
State California (CA)
Post Code 921017609
Phone Number 6192333432
Fax Number 6192337022

Provider's Primary Taxonomy Detail

Speciality Mental Health
Taxonomy 101Ym0800X
Definition:
A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more.

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FAQs about Kelly L. Moore

What is the Kelly L. Moore's unique identification number?

The Kelly L. Moore has been assigned the NPI (National Provider Identifier) Number 1174652762 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Kelly L. Moore's facilities are geographically located?

The facilities of Kelly L. Moore are physically situated at the following location: 531 16Th St, San Diego, CA, 921017609.

What is Kelly L. Moore's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Kelly L. Moore is Mental Health, and the corresponding taxonomy classification code for this specialized field is 101Ym0800X.

On what date did the Centers for Medicare & Medicaid Services assign the 1174652762 to Kelly L. Moore?

The Centers for Medicare & Medicaid Services assigned the 1174652762 to Kelly L. Moore on 2007-03-02.

As of what date was the information pertaining to Kelly L. Moore, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Kelly L. Moore, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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