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

Kelly Jo Moore

Individual provider Peer Specialist · NPI 1487391595

Kelly Jo Moore is a Peer Specialist in Manchester, Kentucky. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

205 Main St
Manchester, KY 40962-1259
Phone: (606) 596-0323
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1487391595
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 19, 2022
Last updated in NPPESMay 19, 2022
Certification dateMay 19, 2022
Mailing address205 Main St, Manchester, KY 40962-1259

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