Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MOISE KELLY
Active Sole ProprietorCommunity Health Worker · MESA, AZ
Registration Details
- NPI Number
- 1447640958
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 4, 2015 (11.249526549817 yrs)
- Last Updated
- Jul 16, 2019
- Licenses
-
957399 (AZ)957399 (AZ)957399 (AZ)957399 (AZ)957399 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
455 S MESA DR UNIT 142MESA, AZ, 852102711Browse AZ providers · Browse ZIP 85210
- Phone
- 4802770313
- Primary Specialty
-
Community Health Worker
172V00000X
- Additional Specialty
- Social Worker
- Additional Specialty
- Case Manager
- Additional Specialty
- Health Educator
- Additional Specialty
- Community Health Worker
Other Community Health Worker Providers in MESA, AZ
| Name | Credential | NPI |
|---|---|---|
| MS. STEPHANIE LEIGH GERDES | COTA | 1114153087 |
| MIKE FITZGERALD | — | 1811248305 |
| LATASHA DYNETTE CARPENTER | RMA | 1689070344 |
| TERESA MARY HANSEN | — | 1225434897 |
| CAROL MACK | — | 1861929689 |
| MISS CERMILLIA LAVONE WILLIAMS | MBA, MSW | 1659857316 |
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.