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MRS. KELLEY ANN MOORE-SOUTH
NPI 1427254614
Specialist in Streetsboro, OH

Active since June 25, 2007
1645 MAPLEWOOD DR, STREETSBORO, OH 44241(330) 626-3031 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mrs. Kelley Ann Moore-south NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KELLEY ANN MOORE-SOUTH (NPI 1427254614) is an individual specialist in Streetsboro, Ohio and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1427254614
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMRS. KELLEY ANN MOORE-SOUTH
Location Address1645 MAPLEWOOD DRStreetsboro, OH 44241-5662
Mailing Address1579 Russell DrStreetsboro, OH 44241-8349 · (330) 422-1304
Phone(330) 626-3031
Sole ProprietorNo
Enumeration DateJune 25, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1427254614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1645 MAPLEWOOD DR, Streetsboro, OH 44241
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Other Identifiers 2

Medicaid2007563OH
Medicare ID-Type Unspecified365718OH

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JOHN JODZIO OTR/L
Occupational Therapist
1645 MAPLEWOOD DR
STREETSBORO, OH 44241
Portage County (330) 626-3031
MR. JONATHAN WAYNE MOSLEY PTA
Physical Therapy Assistant
1645 MAPLEWOOD DR
STREETSBORO, OH 44241
Portage County (330) 626-3031
JESSICA MARIE BERAN CCC-SLP
Speech-Language Pathologist
1645 MAPLEWOOD DR
STREETSBORO, OH 44241
Portage County (330) 626-3031
SUE SHELLHAAS
Physical Therapy Assistant
1645 MAPLEWOOD DR
STREETSBORO, OH 44241
Portage County (330) 626-3031
MRS. SHEENA ABEL
Physical Therapy Assistant
1645 MAPLEWOOD DR
STREETSBORO, OH 44241
Portage County (330) 626-3031
MS. CHRISTINA ZITA POECZE P.T.
Physical Therapist
1645 MAPLEWOOD DR
STREETSBORO, OH 44241
Portage County (330) 626-3031
KEPING DUAN COTA.L
Occupational Therapy Assistant
1645 MAPLEWOOD DR
STREETSBORO, OH 44241
Portage County (330) 626-3031
PAULETTE R ALEXANDER
Physical Therapy Assistant
1645 MAPLEWOOD DR
STREETSBORO, OH 44241
Portage County (800) 684-8048

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelley Moore-south's NPI number?

The NPI number for Kelley Moore-south is 1427254614. It was assigned to this individual provider in the NPPES registry on June 25, 2007.

Where is Kelley Moore-south located?

Kelley Moore-south practices at 1645 Maplewood Dr, Streetsboro, OH 44241. The listed phone number is (330) 626-3031.

What is Kelley Moore-south's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Kelley Moore-south was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.