Kelly Moore

NPI 1992581193 · on the registry since 2023 · sole proprietor

Practice

Address: 2911 53rd Ave E
Bradenton, FL 34203
Phone: (941) 752-0802
Organisation at this address: Wal-Mart Stores East Lp
Wal-Mart Stores East, Lp
Richard P Keville Od & Associates Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: Optician
156FX1800X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2023-09-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida