Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kelley E Moon, MD

Individual provider Family Medicine Physician · NPI 1255366035

Dr. Kelley E Moon, MD is a Family Medicine Physician in Nacogdoches, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
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

1320 N University Dr Ste B
Nacogdoches, TX 75961-4270
Phone: (936) 559-9225
Fax: (936) 559-9701
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence L4067 (TX)

Record details

NPI number1255366035
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 11, 2006
Last updated in NPPESJanuary 21, 2026
Certification dateJanuary 21, 2026
Mailing address1320 N University Dr Ste B, Nacogdoches, TX 75961-4270

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