Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KELLEY E MOON, M.D.
Active Sole ProprietorDR. KELLEY E MOON, M.D. is a Family Medicine healthcare provider located in NACOGDOCHES, Texas. NPI 1255366035 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · NACOGDOCHES, TX
Registration Details
- NPI Number
- 1255366035
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 11, 2006 (20.108194251309 yrs)
- Last Updated
- Jan 21, 2026
- License
-
L4067 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1320 N UNIVERSITY DR STE BNACOGDOCHES, TX, 759614270Browse TX providers · Browse ZIP 75961
- Phone
- 9365599225
- Fax
- 9365599701
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in NACOGDOCHES, TX
| Name | Credential | NPI |
|---|---|---|
| MR. JEREMY SCOTT SMITH | MD | 1275594848 |
| DR. PHILIP THEODORE LABARBERA | M.D. | 1528020823 |
| DR. ADRIAN CRAIG JESSIE | MD | 1578520425 |
| MR. OLIN KIRK FEARING | M.D. | 1740248467 |
| KEVIN WAYNE STEPHENS | M.D. | 1821046244 |
| DR. CARL ALEXANDER DAVIS | M.D. | 1376594044 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.