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1417937194
KELLY L. MOORES
LAKELAND, FL
NPI
1417937194
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
Enumeration Date
2006-01-19
Last Update Date
2022-07-21
Business Address
Mr. KELLY L. MOORES PA-C
3030 HARDEN BLVD
LAKELAND, FL 33803-7952
Phone number: 863-687-1250
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Mailing Address
Mr. KELLY L. MOORES PA-C
1324 LAKELAND HILLS BLVD ATTN: MANAGED CARE DEPT
LAKELAND, FL 33805-4543
Phone number:
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