Kelli Moore
Kelli Moore is a Physician Assistant in Bingham Farms, Michigan. Qualified in 2019, 7 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Michigan.
- Years since qualifying
- 7
- Licensed in
- MI
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
Bingham Farms, MINo coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- 9103 Country View Dr, Ypsilanti, MI 48197-6650 — (502) 649-2954
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 5601009656 (MI) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1699243204 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 13, 2018 |
| Last updated in NPPES | August 16, 2020 |
| Certification date | August 16, 2020 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
Other providers in Bingham Farms
-
Martina Graham
Student / training record Bingham Farms, MI
-
Kassandra Hernandez
Student / training record Bingham Farms, MI
-
Hussein Ali Issa, MD
Student / training record Bingham Farms, MI
-
Allison Kunz, PA-C
Student / training record Bingham Farms, MI
-
Katherine Marie Obudzinski
Student / training record Bingham Farms, MI
-
Raksha Hemanth Raheja, DO
Student / training record Bingham Farms, MI
-
Faith Marie Salman
Student / training record Bingham Farms, MI
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Jason Robert Shanker
Student / training record Bingham Farms, MI