person
Kelly Moore, NP
Pediatric Nurse Practitioner in Fort Worth, Texas
NPI 1669072112

Kelly Moore is a Pediatric Nurse Practitioner based in Fort Worth, TX and is specialized in Pediatrics. Kelly Moore practices in Fort Worth, TX and has the professional credentials of NP. The NPI Number for Kelly Moore is 1669072112 and holds a License No. 1011153 (Texas).

The current practice location address for Kelly Moore is 1401 W Pulaski St, Fort Worth, TX and can be reached out via phone at 817-454-8055.

Location: 1401 W Pulaski St, Fort Worth, TX, 76199-0213
person
Provider Profile Details
NPI Number
1669072112
Provider Name
Kelly Moore
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1401 W Pulaski St, Fort Worth, TX, 76199-0213
Phone Number
817-454-8055
Fax Number
Provider Enumeration Date
10/26/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1401 W Pulaski St
City
State
Zip
76104-2717
Phone Number
817-454-8055
Fax Number
person
Provider Business Mailing Address Details
Address
1401 W Pulaski St
City
State
Zip
76104-2717
Phone Number
817-454-8055
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
1011153 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
1011153 (Texas)
Definition
Definition to come...
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