KELAN A MOORE

KENOSHA, WI
NPI1912986589
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207L00000X Anesthesiology
(Licence: WI  42736-020)
Enumeration Date2006-01-12
Last Update Date2025-01-26
Business Address
Dr. KELAN A MOORE M.D.
10400 75TH ST
KENOSHA, WI 53142-7884
Phone number: 414-358-5443
Mailing Address
Dr. KELAN A MOORE M.D.
PO BOX 735044
CHICAGO, IL 60673-5044
Phone number: 800-326-2250
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