| Kelly R. Moore Therapy Llc | |
|
8826 Santa Fe Dr Suite 210 Overland Park KS 66212-3655 | |
| (913) 963-7751 | |
| Not Available |
| Full Name | Kelly R. Moore Therapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 8826 Santa Fe Dr, Overland Park, Kansas |
| Authorized Official Name and Position | Kelly R. Moore (THERAPIST) |
| Authorized Official Contact | 9139637751 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly R. Moore Therapy Llc 10360 S Hollis Ln Olathe KS 66061-7435 Ph: (913) 963-7751 | Kelly R. Moore Therapy Llc 8826 Santa Fe Dr Suite 210 Overland Park KS 66212-3655 Ph: (913) 963-7751 |
| NPI Number | 1285090720 |
|---|---|
| Provider Enumeration Date | 01/13/2016 |
| Last Update Date | 01/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285090720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 4470 (Kansas) | Primary |
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