Kelly L. Moores (NPI# 1417937194, PAC ID# 8123051281) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1417937194 |
| PAC ID by PECOS | 8123051281 |
| Professional Enrollment ID | I20050919000237 |
| Full Name | Kelly L. Moores |
| Organization Legal Name | LAKELAND REGIONAL HEALTH SYSTEMS INC |
| Address |
3030 Harden Blvd Lakeland FL 33803-7952 |
| Phone Number | 8632845000 |
| Gender | F |
| Credential | PA |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8325952914 |
| Number of Group Practice Members | 219 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100157 | LAKELAND REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3030 Harden Blvd, Lakeland, FL 33803-7952 | 8632845000 | LAKELAND REGIONAL HEALTH SYSTEMS INC |
| 3525 Lakeland Hills Blvd, Lakeland, FL 33805-1965 | 8636036565 | LAKELAND REGIONAL HEALTH SYSTEMS INC |
| Organization Legal Name | LAKELAND REGIONAL HEALTH SYSTEMS INC |
| Physicians | 231 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shivani Patel | Nurse Practitioner | Lakeland Regional Health Systems Inc | 4710 S Florida Ave, Lakeland, FL 33813-2165 |
| Javier A Diago Benjumea | Family Medicine | Lakeland Regional Health Systems Inc | 3015 Lakeland Highlands Rd, Lakeland, FL 33803-4339 |
| Ayanna Joseph | Family Practice | Lakeland Regional Health Systems Inc | 2625 S Florida Ave, Lakeland, FL 33803-3860 |
| Emir Tabraue-nunez | Internal Medicine | Lakeland Regional Health Systems Inc | 1324 Lakeland Hill Blvd, Lakeland, FL 33805-4543 |
| Ralph T Tauran | Infectious Disease | Lakeland Regional Health Systems Inc | 300 Parkview Pl, Lakeland, FL 33805-4550 |
| Maria S Oconer | Internal Medicine | Lakeland Regional Health Systems Inc | 5135 Us Hwy 98 N, Lakeland, FL 33809-0514 |
| Kevin L Robinson | Otolaryngology | Lakeland Regional Health Systems Inc | 130 Pablo St, Lakeland, FL 33803-3818 |
| Robert Bala | Family Medicine | Lakeland Regional Health Systems Inc | 3030 Harden Blvd, Lakeland, FL 33803-7952 |
| Tami L Hower | Nurse Practitioner | Lakeland Regional Health Systems Inc | 3525 Lakeland Hills Blvd, Lakeland, FL 33805-1965 |
| Andrea L Beale | Nurse Practitioner | Lakeland Regional Health Systems Inc | 500 S Florida Ave, Suite 210, Lakeland, FL 33801-5252 |
| Street Address |
3030 HARDEN BLVD |
| City | LAKELAND |
| State | FL |
| Zip | 33803-7952 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Bala | Family Medicine | Lakeland Regional Health Systems Inc | 3030 Harden Blvd, Lakeland, FL 33803-7952 |
| Anielys Salgado | Nurse Practitioner | Lakeland Regional Health Systems Inc | 3030 Harden Blvd, Lakeland, FL 33803-7952 |
| Eric Wicks | Orthopedic Surgery | Lakeland Regional Health Systems Inc | 3030 Harden Blvd, Lakeland, FL 33803-7952 |
| Benjamin K Miller | Orthopedic Surgery | Lakeland Regional Health Systems Inc | 3030 Harden Blvd, Lakeland, FL 33803-7952 |
| Jaime D Abuan | Family Medicine | Lakeland Regional Health Systems Inc | 3030 Harden Blvd, Lakeland, FL 33803-7952 |
| Patrick J Marsh | Psychiatry | Lakeland Regional Health Systems Inc | 3030 Harden Blvd, Lakeland, FL 33803-7952 |
| Durkhani Mahboob | Rheumatology | Lakeland Regional Health Systems Inc | 3030 Harden Blvd, Lakeland, FL 33803-7952 |
| Felix B Widlacki | Psychiatry | Lakeland Regional Health Systems Inc | 3030 Harden Blvd, Lakeland, FL 33803-7952 |
| John F Hower | General Surgery | Lakeland Regional Health Systems Inc | 3030 Harden Blvd, Lakeland, FL 33803-7952 |
| Lindsey A. Hahn | Gynecological Oncology | Lakeland Regional Health Systems Inc | 3030 Harden Blvd, Lakeland, FL 33803-7952 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randy G. Hunter | Urology | 1350 E Main St, Suite B 8, Bartow, FL 33803 | |
| Robert H Bevis | Internal Medicine | Watson Clinic LLP | 1033 N Pkwy Frontage Rd, Lakeland, FL 33803-0401 |
| Guillermo O Vasquez | Internal Medicine | Watson Clinic LLP | 1033 N Pkwy Frontage Rd, Lakeland, FL 33803-0401 |
| Zully A Calvo | Podiatry | Watson Clinic LLP | 1033 N Pkwy Frontage Rd, Lakeland, FL 33803-0401 |
| Dona C Stone | Internal Medicine | Watson Clinic LLP | 1033 N Pkwy Frontage Rd, Lakeland, FL 33803-0401 |
| Georgette D Farmer | Nurse Practitioner | Watson Clinic LLP | 1033 N Pkwy Frontage Rd, Lakeland, FL 33803-0401 |
| Patricia Ann Schmaedeke | Family Medicine | Watson Clinic LLP | 1033 N Pkwy Frontage Rd, Lakeland, FL 33803-0401 |
| Catherine B Marcum | Dermatology | Watson Clinic LLP | 1033 N Pkwy Frontage Rd, Lakeland, FL 33803-0401 |
| Edward Garcia | Pathology | Watson Clinic LLP | 1033 N Pkwy Frontage Rd, Lakeland, FL 33803-0401 |
| Brett J Widick | Family Medicine | Watson Clinic LLP | 1033 N Pkwy Frontage Rd, Lakeland, FL 33803-0401 |
| Find all physicians in zip 33803 | |||
| City | LAKELAND |
| Zip Code | 33803 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | LAKELAND + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kelly L. Moores.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.