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Kellyanna J Moore, MD
Family Medicine Physician in Owatonna, Minnesota
NPI 1538120746

Kellyanna J Moore is a Family Medicine Physician based in Owatonna, MN. Kellyanna J Moore practices in Owatonna, MN and has the professional credentials of MD. The NPI Number for Kellyanna J Moore is 1538120746 and holds a License No. 44578 (Minnesota).

The current practice location address for Kellyanna J Moore is 2200 Nw 26Th St, Owatonna, MN and can be reached out via phone at 507-451-1120 and via fax at 507-444-6287.

Location: 2200 Nw 26Th St, Owatonna, MN, 55060-5503
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538120746
Provider Name
Kellyanna J Moore
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2200 Nw 26Th St, Owatonna, MN, 55060-5503
Phone Number
507-451-1120
Fax Number
507-444-6287
Provider Enumeration Date
03/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
854628200 05 MN
institution
Provider Business Practice Location Address Details
Address
2200 Nw 26Th St
City
Owatonna
State
Minnesota
Zip
55060-5503
Phone Number
507-451-1120
Fax Number
507-444-6287
person
Provider Business Mailing Address Details
Address
2200 Nw 26Th St
City
Owatonna
State
Minnesota
Zip
55060-5503
Phone Number
507-451-1120
Fax Number
507-444-6287
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
44578 (Minnesota)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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