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

Kelvin Moore, OT

Individual provider Occupational Therapist · NPI 1194987529

Kelvin Moore, OT is an Occupational Therapist in Ridgeland, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2008
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

711 Avignon Dr
Ridgeland, MS 39157-5120
Phone: (601) 605-6777
Fax: (601) 605-8869
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT2229 (MS)

Record details

NPI number1194987529
Entity typeIndividual (Type 1)
GenderMale
Credentials OT
Sole proprietorYes
NPI enumeratedJune 26, 2008
Last updated in NPPESAugust 25, 2022
Certification dateAugust 25, 2022
Mailing addressPo Box 22, Senatobia, MS 38668-0022

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