Kelly Moore, DO | |
3581 Harrodsburg Rd Ste 350, Lexington, KY 40513-1140 | |
(859) 313-6333 | |
(859) 313-3484 |
Full Name | Kelly Moore |
---|---|
Gender | Female |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 3581 Harrodsburg Rd Ste 350, Lexington, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205331600 | NPI | - | NPPES |
7100616800 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | R4811 (Kentucky) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 04849 (Kentucky) | Primary |
Entity Name | Kentuckyone Health Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104875970 PECOS PAC ID: 8820993702 Enrollment ID: O20031204000080 |
Mailing Address | Practice Location Address |
---|---|
Kelly Moore, DO Po Box 936, London, KY 40743-0936 Ph: (606) 330-7835 | Kelly Moore, DO 3581 Harrodsburg Rd Ste 350, Lexington, KY 40513-1140 Ph: (859) 313-6333 |
Dr. David Neil Toupin, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2195 Harrodsburg Rd Fl 2, Lexington, KY 40504 Phone: 859-562-1868 Fax: 859-257-0421 | |
Dr. Daniella Gavito, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 245 Fountain Ct # 225, Lexington, KY 40509 Phone: 859-323-6021 | |
Daniel David Nahum, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3470 Blazer Pkwy, Lexington, KY 40509 Phone: 859-323-6021 | |
Dr. Scott Littleton, M.D, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: University Health Service, 830 South Limestone Street, Lexington, KY 40536 Phone: 859-323-5511 Fax: 859-257-9816 | |
Amanda May Leuthold, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 245 Fountain Ct, Lexington, KY 40509 Phone: 859-323-6021 Fax: 859-323-1670 | |
Charles I Shelton Jr., D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1350 Bull Lea Rd, Lexington, KY 40511 Phone: 859-246-8000 Fax: 859-246-8043 | |
Dr. Shri K Vaish, M.D Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3217 Linville Ln, Lexington, KY 40513 Phone: 937-270-4295 |