Kelly Moore
NPI #1568817369 in West Springfield, Massachusetts
Provider Information
- NPI Number
- 1568817369
- Entity Type
- Individual
- Name
- Kelly Moore
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Apr 28, 2016
- Last Updated
- Apr 28, 2016
Practice Location
- Address
- 29 NONOTUCK RD
- City
- West Springfield
- State
- Massachusetts
- ZIP Code
- 01089-1616
- Phone
- (413) 364-8843
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