Kelly L. Moores is a Surgical in Lakeland, Florida. Kelly L. Moores practices all healthcare services and medical treatments related to Surgical. The NPI Number for Kelly L. Moores is 1417937194. The last update date is 2022-07-21.
Kelly L. Moores's current location address is 3030 Harden Blvd, Lakeland, Florida. You can contact this provider via phone number 8636871250 and fax number 8636871258. The mailing address for Kelly L. Moores is 3030 Harden Blvd, Lakeland, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kelly L. Moores |
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Address | 3030 Harden Blvd, Lakeland, Florida |
Phone Number | 8636871250 |
Fax Number | 8636871258 |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1417937194 |
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Provider Enumeration Date | 2006-01-19 |
Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
Address | 3030 Harden Blvd |
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City | Lakeland |
State | Florida (FL) |
Post Code | 338037952 |
Phone Number | 8636871250 |
Fax Number | 8636871258 |
Provider's Primary Taxonomy Detail
Speciality | Surgical |
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Taxonomy | 363As0400X |
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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What is the unique identifier code issued to Kelly L. Moores by the Centers for Medicare & Medicaid Services?
The Kelly L. Moores has been assigned the NPI (National Provider Identifier) 1417937194. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Kelly L. Moores's facilities are geographically located?
The facilities of Kelly L. Moores are physically situated at the following location: 3030 Harden Blvd, Lakeland, FL, 338037952.
What is Kelly L. Moores's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kelly L. Moores is Surgical, and the taxonomy code that classifies this field of practice is 363As0400X.
When did Kelly L. Moores receive its 1417937194 assignment?
The Kelly L. Moores was assigned its 1417937194 on 2006-01-19, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Kelly L. Moores, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kelly L. Moores, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-07-21.
NPI Number: 1588667679
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