Kelley K Moore, MD | |
4851 Independence St., 70 Executive Center, Wheat Ridge, CO 80033-6715 | |
(303) 432-5101 | |
(303) 432-5071 |
Full Name | Kelley K Moore |
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Gender | Female |
Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 4851 Independence St., Wheat Ridge, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740326289 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 32806 (Colorado) | Primary |
Entity Name | Jefferson Center For Mental Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154403798 PECOS PAC ID: 9032018882 Enrollment ID: O20031231000357 |
Mailing Address | Practice Location Address |
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Kelley K Moore, MD 4851 Independence St., 70 Executive Center, Wheat Ridge, CO 80033 Ph: (303) 432-5101 | Kelley K Moore, MD 4851 Independence St., 70 Executive Center, Wheat Ridge, CO 80033-6715 Ph: (303) 432-5101 |
John P Martens, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3400 Lutheran Pkwy, Wheat Ridge, CO 80033 Phone: 303-467-4000 Fax: 303-467-4064 | |
Dr. John Buford Woodward Iii, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4045 Wadsworth Blvd, Suite 311, Wheat Ridge, CO 80033 Phone: 303-425-6856 Fax: 303-425-1661 | |
Dr. Edward Valkov, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3400 Lutheran Pkwy, Wheat Ridge, CO 80033 Phone: 303-467-4000 | |
Dr. Charles Francis Clark, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 8300 W 38th Ave, Wheat Ridge, CO 80033 Phone: 303-467-4000 Fax: 303-467-4064 | |
Donald W Bechtold, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 4851 Independence St, 70 Executive Center, Suite 200, Wheat Ridge, CO 80033 Phone: 303-432-5169 Fax: 303-432-5036 | |
Regina Johnson, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4851 Independence St, Wheat Ridge, CO 80033 Phone: 303-425-0300 Fax: 303-432-5790 | |
Amber Grob, APRN Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 4891 Independence St Ste 225, Wheat Ridge, CO 80033 Phone: 720-779-1998 |