Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Kelly King Moore, MS, OTR/L

Individual provider Occupational Therapist · NPI 1619080272

Mrs. Kelly King Moore, MS, OTR/L is an Occupational Therapist in Lexington, Kentucky. Works from 2 locations. Licensed in Kentucky.

Licensed in
KY
In the registry since
2006
What do these letters mean?
MS — Master of Science
A graduate science degree.
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

330 Waller Ave Ste 275
Lexington, KY 40504-2930
Phone: (859) 447-8600
Fax: (859) 447-8599
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 212 Wayne Dr, Richmond, KY 40475-2337 — (859) 625-0564

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence R3638 (KY)

Record details

NPI number1619080272
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , OTR/L
Sole proprietorNo
NPI enumeratedAugust 17, 2006
Last updated in NPPESMarch 3, 2021
Certification dateMarch 3, 2021

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