Provider Demographics
NPI:1497965115
Name:MOORE, KELLY LYNN (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:KELLY
Middle Name:LYNN
Last Name:MOORE
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Gender:F
Credentials:MD, MPH
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Mailing Address - Street 1:4487 POST PL
Mailing Address - Street 2:UNIT 34
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-1600
Mailing Address - Country:US
Mailing Address - Phone:615-352-1873
Mailing Address - Fax:615-532-8526
Practice Address - Street 1:425 5TH AVE N
Practice Address - Street 2:1ST FLOOR, CORDELL HULL BUILDING
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37243-0001
Practice Address - Country:US
Practice Address - Phone:615-741-7247
Practice Address - Fax:615-532-8526
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
TN361572083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine