Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Moore

Individual provider Registered Nurse · NPI 1770977563

Kelly Moore is a Registered Nurse in Yuma, Arizona. Licensed in Alaska. Registered with an NPI since 2015.

Licensed in
AK
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

101 W 16th St # 1128
Yuma, AZ 85364-4733
Phone: (907) 931-8618
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 162387 (AK)
Registered Nurse Taxonomy 163W00000X · Licence 37437 (AK)

Record details

NPI number1770977563
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 19, 2015
Last updated in NPPESNovember 22, 2022
Certification dateNovember 22, 2022

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