Kelly Jo Moore
NPI #1487391595 in Manchester, Kentucky
Provider Information
- NPI Number
- 1487391595
- Entity Type
- Individual
- Name
- Kelly Jo Moore
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Peer Specialist
- Enumeration Date
- May 19, 2022
- Last Updated
- May 19, 2022
Practice Location
- Address
- 205 MAIN ST
- City
- Manchester
- State
- Kentucky
- ZIP Code
- 40962-1259
- Phone
- (606) 596-0323
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
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