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

Kelly Renee Moore, NP

Individual provider Adult Health Nurse Practitioner · NPI 1780128942

Kelly Renee Moore, NP is an Adult Health Nurse Practitioner in Hillsboro, Missouri. Licensed in Illinois and Missouri. Registered with an NPI since 2016.

Licensed in
IL, MO
In the registry since
2016
Specialties on file
4
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

130 Andor Ln
Hillsboro, MO 63050-4606
Phone: (314) 520-1227
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 2016029955 (MO)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 209.015105 (IL)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 2016029955 (MO)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 209.015105 (IL)

Record details

NPI number1780128942
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedDecember 7, 2016
Last updated in NPPESNovember 7, 2022
Certification dateNovember 7, 2022

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