Active NPIIndividual providerSole proprietor

Kelly Moore

Skilled Nursing Facility in West Springfield, Massachusetts

NPI Number1568817369
Practice location
29 Nonotuck RD, West Springfield, MA 01089-1616
Fax
—
Last updated
April 28, 2016

Kelly Moore is a Skilled Nursing Facility based in West Springfield, MA. Kelly Moore practices in West Springfield, MA. The NPI Number for Kelly Moore is 1568817369 and holds a License No. 16178 (CA). The current practice location address for Kelly Moore is 29 Nonotuck RD, West Springfield, MA 01089-1616 and can be reached out via phone at 413-364-8843.

Provider Profile Details

NPI Number
1568817369
Provider Name
Kelly Moore
Provider Entity Type
Individual
Gender
Female
Address
29 Nonotuck RD, West Springfield, MA 01089-1616
Phone Number
413-364-8843
Primary Taxonomy
Skilled Nursing Facility · 314000000X
Sole Proprietor
Yes
Provider Enumeration Date
April 28, 2016
Last Update Date
April 28, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
29 Nonotuck RD
West Springfield, MA 01089-1616
Zip
01089-1616
Phone Number
413-364-8843
West Springfield, MA 01089Get directions →

Provider Business Mailing Address Details

Address
29 Nonotuck RD
West Springfield, MA 01089-1616
City
West Springfield
State
MA
Zip
01089-1616

License Information

License Number
16178
License State
CA
Taxonomy
Skilled Nursing Facility · 314000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kelly Moore?

The NPI number of Kelly Moore is 1568817369. It was assigned on April 28, 2016 and is currently active in the NPPES registry.

What is the specialty of Kelly Moore?

Kelly Moore is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X), licensed in CA under license number 16178.

Where does Kelly Moore practice?

The practice location is 29 Nonotuck RD, West Springfield, MA 01089-1616. The office can be reached at 413-364-8843 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1568817369 directly on the NPPES registry website.

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