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

Mrs. Kylie Moore

Individual provider Community Health Worker · NPI 1639669336

Mrs. Kylie Moore is a Community Health Worker in Fulton, Michigan. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

1474 Bmadzewen Way
Fulton, MI 49052-9623
Phone: (269) 729-4422
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X

Record details

NPI number1639669336
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 17, 2018
Last updated in NPPESJanuary 30, 2024
Certification dateJanuary 30, 2024
Mailing address1474 Bmadzewen Way, Fulton, MI 49052-9623

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