Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KELLY L. MOORES, PA-C
ActiveMR. KELLY L. MOORES, PA-C is a Surgical Physician Assistant healthcare provider located in LAKELAND, Florida. NPI 1417937194 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · LAKELAND, FL
Registration Details
- NPI Number
- 1417937194
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 19, 2006 (20.534701274376 yrs)
- Last Updated
- Feb 11, 2026
Practice Information
- Address
-
2400 KATHLEEN RDLAKELAND, FL, 338103077Browse FL providers · Browse ZIP 33810
- Phone
- 8636871250
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in LAKELAND, FL
| Name | Credential | NPI |
|---|---|---|
| DONALD VINCENT CARDWELL JR. | PA | 1407828213 |
| MR. JAMES M. EMERSON JR. | PAC | 1336117993 |
| EDWARD JAMES CARROLL | PA-C | 1083676779 |
| JAIME TORRES | MS, PA-C | 1174688444 |
| JANET FAITH MCCABE | PA-C | 1750538294 |
| KARI LYNN WHITMAN | PA-C | 1962737627 |
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.