Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kelan A Moore, MD

Individual provider Anesthesiology Physician · NPI 1912986589

Dr. Kelan A Moore, MD is an Anesthesiology in Kenosha, Wisconsin. Graduated from Michigan State University College of Human Medicine in 1991, 35 years ago. Practices with Aurora Medical Group, Inc, a 3,741-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
35
Trained at
Michigan State University College of Human Medicine
Licensed in
WI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10400 75th St
Kenosha, WI 53142-7884
Phone: (414) 358-5443
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3801 Spring St, Racine, WI 53405-1667 — (262) 687-4011

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 42736-020 (WI)

Record details

NPI number1912986589
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 12, 2006
Last updated in NPPESJanuary 26, 2025
Certification dateJanuary 26, 2025
Mailing addressPo Box 735044, Chicago, IL 60673-5044

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated 1991 (35 years in practice)
Group practice Aurora Medical Group, Inc. — 3741 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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