IndividualActive
Kelly Moore, RN, DNP STUDENT
NPI 1114516812 · Ambulatory Care Registered Nurse · Chicago, IL
Provider details
- NPI number
- 1114516812
- Entity type
- Individual
- Primary specialty
- Ambulatory Care Registered NurseNursing Service Providers
- Credential
- RN, DNP STUDENT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 041487884 (IL)
Specialties & taxonomies
Nursing Service Providers
Practice location
3240 W Division St
Chicago, IL 60651-2405
Phone: (312) 413-7425
Approximate (ZIP-level) locationGet directions
Mailing address
3240 W Division St
Chicago, IL 60651-2405
Registry dates
- Enumerated
- 2021-01-16
- Last updated
- 2021-01-16
- Certified
- 2021-01-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.