Kelly Moore is a Boise, Idaho based nurse practitioner. Active license number of Kelly Moore is 59308 for Psych/Mental Health in Idaho. Her current practice location is 703 S Americana Blvd Ste 150, Boise. Patients can reach her at 208-706-6375. Kelly Moore is NP and her NPI number (Unique professional ID assigned by NPPES) is 1104303072. Kelly Moore has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Kelly Moore speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Kelly Moore
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
NP
Practice Address:
703 S Americana Blvd Ste 150, Boise, Idaho, 83702-4976
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1104303072
NPI Enumeration Date:
24 Jul, 2018
NPI Last Update On:
21 Mar, 2023
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kelly Moore are as mentioned below.
License Number
Specialization
State
Status
59308
Psych/Mental Health
Idaho
Primary
59308
Nurse Practitioner
Idaho
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Kelly Moore 190 E Bannock St, Boise, Idaho
Zip:
83712-6241
Phone Number:
208-381-8752
Patients can reach Kelly Moore at 703 S Americana Blvd Ste 150, Boise, Idaho or can call to book an appointment on 208-706-6375.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.