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

MS. Kelley C Moore, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1639165343

MS. Kelley C Moore, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Travis AFB, California. Qualified in 1998, 28 years ago. Practices with Anesthesia Services of Greater Dayton LLC, a 24-clinician group and accepts Medicare assignment. Licensed in Alaska.

Years since qualifying
28
Licensed in
AK
In the registry since
2005
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

101 Bodin Cir
Travis AFB, CA 94535-1809
Phone: (937) 668-2438
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 209 (AK)

Record details

NPI number1639165343
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorYes
NPI enumeratedSeptember 27, 2005
Last updated in NPPESNovember 5, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Anesthesia Services Of Greater Dayton Llc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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