DR. KELLY SUZANN MOORE (NPI# 1588893168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588893168 |
| Entity Type | Individual |
| Full Name | DR. KELLY SUZANN MOORE |
| Credential | DMD |
| Practice Address |
1081 Dove Run Rd Lexington KY 40502-3584 |
| Practice Telephone | 8592662149 |
| Mailing Telephone | 8592662149 |
| Enumeration Date | 2009-07-05 |
| Last Update Date | 2010-04-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
8761 | KY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457901233 | Kelly Lynn Moore | Counselor | 11111 E Mississippi Ave Ste 268, Aurora, CO 80012-3106 | 2019-09-13 |
| 1962981563 | Kelly Moore | Massage Therapist | 1776 S Jackson St Ste 830, Denver, CO 80210-3807 | 2018-08-14 |
| 1134619018 | Kelly Michelle Moore | Social Worker | 446 Pinecrest Cir, Long Beach, MS 39560-3639 | 2018-05-16 |
| 1932630902 | Kelly Moore | Optometrist | 1611 Plummer St #112e, North Hills, CA 91403-2036 | 2017-03-22 |
| 1780128942 | Kelly Renee Moore | Nurse Practitioner | 224 Margaret Michelle Ct, Saint Peters, MO 63376-4812 | 2016-12-07 |
| 1568817369 | Kelly Moore | Skilled Nursing Facility | 29 Nonotuck Rd, West Springfield, MA 01089-1616 | 2016-04-28 |
| 1588042980 | Kelly Moore | Registered Nurse | 1507 Broad Blvd, Cuyahoga Falls, OH 44223-2434 | 2015-05-18 |
| 1770977563 | Kelly Moore | Registered Nurse | 1120 Huffman Rd Ste 24-787, Anchorage, AK 99515-3516 | 2015-03-19 |
| 1790106342 | Kelly Ann Moore | Behavioral Analyst | 17845 Ridgeland Ave, Tinley Park, IL 60477-4383 | 2013-12-29 |
| 1720327570 | Kelly Moore | Occupational Therapy Assistant | 1848 E Gemini Dr, Tempe, AZ 85283-6000 | 2013-02-13 |
| Street Address |
1081 DOVE RUN RD |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40502-3584 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518016849 | Wanda L Day | Counselor | 1081 Dove Run Rd, Ste. 202, Lexington, KY 40502-3584 | 2007-01-09 |
| 1831528504 | Nathaniel Brooks Smith | Social Worker | 1081 Dove Run Rd, Suite 202, Lexington, KY 40502-3584 | 2013-11-04 |
| 1013119213 | Joseph L. Hill | Dentist | 1081 Dove Run Rd, Lexington, KY 40502-3584 | 2007-06-01 |
| 1588866776 | Joseph Lee Hill | Dentist | 1081 Dove Run Rd, Lexington, KY 40502-3584 | 2007-06-01 |
| 1760606891 | Lou P. Sievers | Dentist | 1081 Dove Run Rd, Suite 106, Lexington, KY 40502-3584 | 2007-04-12 |
| 1912022377 | Harold David O'donnell | Dentist | 1081 Dove Run Rd, Lexington, KY 40502-3584 | 2007-03-21 |
| 1518092881 | Kathrine Barrett Greene | Dentist | 1081 Dove Run Rd, Suite 106, Lexington, KY 40502 | 2007-02-23 |
| 1346380540 | Michael N. Prunty | Dentist | 1081 Dove Run Rd, Lexington, KY 40502-3584 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689213761 | Justin Waldo | Social Worker | Lexington Va Medical Center, 1101 Veteran's Drive, Lexington, KY 40502 | 2020-01-06 |
| 1275187569 | Lorraine Wiley | Specialist/Technologist | 712 Sports Center Dr, Lexington, KY 40502 | 2019-07-25 |
| 1013560952 | Erica Keller Musgrave | Speech-Language Pathologist | 882 Mcmeekin Pl, Lexington, KY 40502 | 2019-07-19 |
| 1174029078 | Michael Bryan Mullen | Otolaryngology | 358 Duke Rd, Lexington, KY 40502 | 2018-04-01 |
| 1346740644 | Susan R Castle | Physical Therapist | 710 East Main Street, Lexington, KY 40502 | 2018-02-14 |
| 1689187684 | Lynn Kathryn Marsh Bryant | Speech-Language Pathologist | 120 Kentucky Avenue, Suite 110 Lexington, Lexington, KY 40502 | 2017-11-13 |
| 1215440888 | Ryan Mcnamara | Specialist/Technologist | 277 Sports Center Drive, Lexington, KY 40502 | 2017-11-06 |
| 1336667690 | Anthony Shawn Prater | Physical Therapist | 710 E. Main St., Lexington, KY 40502 | 2017-09-06 |
| 1568989002 | Lucie Thurman | Counselor | 1109 Richmond Rd., Lexington, KY 40502 | 2017-08-25 |
| 1548700867 | Ann Elizabeth Boone | Massage Therapist | 2121 Richmond Road, Suite 228, Lexington, KY 40502 | 2017-03-06 |
| Find all providers in zip 40502 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619518057 | Rachel Katherine Huffman | Dentist | 208 E Lowry Ln, Lexington, KY 40503-2615 | 2019-10-07 |
| 1922652767 | Lexington Dental Group LLC | Dentist | 35 Bedford St Ste 16, Lexington, MA 02420-4440 | 2019-07-30 |
| 1265092860 | Laura Kathryn Frye | Dentist | 1 Weaver Dr Ste 1, Lexington, NC 27292-4774 | 2019-06-17 |
| 1275193732 | Turner Jo'steven O'brian | Dentist | 750 Shaker Dr Apt 526, Lexington, KY 40504-3750 | 2019-06-17 |
| 1750846234 | Smart Dental & Hygiene Express | Dentist | 2600 Nicholasville Rd Suite 120, Lexington, KY 40503 | 2019-02-08 |
| 1922594126 | Dental Professional of South Carolina, P.C. | Dentist | 2448 Augusta Hwy, Lexington, SC 29072 | 2018-07-11 |
| 1225530660 | Tates Creek Dental, Psc | Dentist | 4071 Tates Creek Centre Dr Ste 210, Lexington, KY 40517-3094 | 2018-03-01 |
| 1285155606 | Stephen Tyler Graul | Dentist | 431 Redding Rd # 110, Lexington, KY 40517-2534 | 2017-07-06 |
| 1316475304 | Al-harith M Shalash | Dentist | 2358 Nicholasville Rd Ste 156, Lexington, KY 40503-3041 | 2017-06-02 |
| 1932633005 | Adkins Family Dentistry Wellington | Dentist | 444 Lewis Hargett Cir, Suite 260, Lexington, KY 40503-3689 | 2017-04-17 |
| Find all providers in LEXINGTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.