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KELLY JO MOORE
NPI 1487391595
Peer Specialist in Manchester, KY

Active since May 19, 2022
205 MAIN ST, MANCHESTER, KY 40962(606) 596-0323 Get Directions Write a Review

NPPES record last updated: May 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Jo Moore NPPES

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

KELLY JO MOORE (NPI 1487391595) is an individual peer specialist in Manchester, Kentucky and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1487391595
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameKELLY JO MOORE
Location Address205 MAIN STManchester, KY 40962-1259
Mailing Address205 Main StManchester, KY 40962-1259 · (606) 596-0323
Phone(606) 596-0323
Sole ProprietorYes
Enumeration DateMay 19, 2022
NPPES CertifiedMay 19, 2022
✔ NPI 1487391595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
205 MAIN ST, Manchester, KY 40962
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Other Providers at the Same Location NPPES 2

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

CHRISTINA MICHELLE BRANDENBURG
Peer Specialist
205 MAIN ST
MANCHESTER, KY 40962
Clay County (606) 596-0323
KENNA SMITH
Counselor
205 MAIN ST
MANCHESTER, KY 40962
Clay County (606) 596-2131

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 Kelly Moore's NPI number?

The NPI number for Kelly Moore is 1487391595. It was assigned to this individual provider in the NPPES registry on May 19, 2022.

Where is Kelly Moore located?

Kelly Moore practices at 205 Main St, Manchester, KY 40962. The listed phone number is (606) 596-0323.

What is Kelly Moore's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Kelly Moore was last updated on May 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.