Kelley C Moore in Travis Afb - Nurse Anesthetist, Certified Registered
Kelley C Moore - NPI 1639165343
Kelley C Moore is a Nurse Anesthetist, Certified Registered in Travis Afb, California. Kelley C Moore practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Kelley C Moore is 1639165343. The last update date is 2014-11-05.
Kelley C Moore's current location address is 101 Bodin Cir, Travis Afb, California. You can contact this provider via phone number 9376682438. The mailing address for Kelley C Moore is 101 Bodin Cir, Travis Afb, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelley C Moore |
|---|---|
| Address | 101 Bodin Cir, Travis Afb, California |
| Phone Number | 9376682438 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1639165343 |
|---|---|
| Provider Enumeration Date | 2005-09-27 |
| Last Updated Date | 2014-11-05 |
Provider Mailing Address Detail
| Address | 101 Bodin Cir |
|---|---|
| City | Travis Afb |
| State | California (CA) |
| Post Code | 945351809 |
| Phone Number | 9376682438 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | 209 |
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Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
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What is the unique identifier code issued to Kelley C Moore by the Centers for Medicare & Medicaid Services?
The Kelley C Moore has been assigned the NPI (National Provider Identifier) 1639165343. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Kelley C Moore is physically located?
The Kelley C Moore is situated at the following address: 101 Bodin Cir, Travis Afb, CA 945351809.
What is Kelley C Moore's area of expertise and its corresponding taxonomy classification?
The Kelley C Moore's field of specialization is Nurse Anesthetist, Certified Registered, and it falls under the taxonomy code 367500000X, which categorizes healthcare providers based on their areas of practice.
When did Kelley C Moore receive its 1639165343 assignment?
The Kelley C Moore was assigned its 1639165343 on 2005-09-27, which is the date when this unique identifier was issued to the organization.
As of what date were the Kelley C Moore's details last updated?
The information pertaining to the Kelley C Moore, including its address, specialty, and other details, was most recently updated on 2014-11-05.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY