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

Kelly Moore, NP

Individual provider Primary Care Nurse Practitioner · NPI 1669072112

Kelly Moore, NP is a Primary Care Nurse Practitioner in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2020.

Licensed in
TX
In the registry since
2020
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

1401 W Pulaski St
Fort Worth, TX 76104-2717
Phone: (817) 454-8055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 1011153 (TX)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 1011153 (TX)

Record details

NPI number1669072112
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 26, 2020
Last updated in NPPESMay 6, 2021
Certification dateMay 6, 2021
Mailing addressPo Box 99213, Fort Worth, TX 76199-0213

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