Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY MOORE
Active Sole ProprietorKELLY MOORE is a Skilled Nursing Facility healthcare provider located in WEST SPRINGFIELD, Massachusetts. NPI 1568817369 is currently active in the NPPES registry. Verify at CMS.
Skilled Nursing Facility · WEST SPRINGFIELD, MA
Registration Details
- NPI Number
- 1568817369
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 28, 2016 (10.318255952198 yrs)
- Last Updated
- Apr 28, 2016
- License
-
16178 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
29 NONOTUCK RDWEST SPRINGFIELD, MA, 010891616Browse MA providers · Browse ZIP 01089
- Phone
- 4133648843
- Primary Specialty
-
Skilled Nursing Facility
314000000X
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.