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

Individual provider Midwife · NPI 1750715926

Mrs. Shelly M Moore, CPM is a Midwife in Summer Shade, Kentucky. Practices as a sole proprietor. Registered with an NPI since 2013.

In the registry since
2013
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Practice location Address checks out

696 Roy Grider Rd
Summer Shade, KY 42166-7631
Phone: (270) 590-8513
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Midwife (primary) Taxonomy 176B00000X

Record details

NPI number1750715926
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPM
Sole proprietorYes
NPI enumeratedAugust 23, 2013
Last updated in NPPESAugust 23, 2013

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