Doctor profile · Federal record
Dr. Kelly Moore, NP
Primary Care Nurse Practitioner · Pediatric Nurse Practitioner · Fort Worth, TX
- NPI 1669072112
- 6 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1401 W Pulaski St
Fort Worth, TX 761042717
(817) 454-8055 - Mailing address
-
Po Box 99213
Fort Worth, TX 761990213
Credentials & registration
- NPI registered
- October 2020 — 6 yrs on file
- Profile last updated
- May 6, 2021
- Specialty taxonomy
- 363LP2300X — NUCC code
- State license (1)
- Texas #1011153
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1669072112. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$242
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Mirati Therapeutics, INC. | 1 | $124.98 | |
| GlaxoSmithKline, LLC. | 1 | $117.22 |
By nature of payment
Frequently asked questions
What is Dr. Kelly Moore's medical specialty?
Dr. Kelly Moore practices Primary Care Nurse Practitioner in Fort Worth, TX.
Where does Dr. Kelly Moore practice?
Dr. Kelly Moore practices at 1401 W Pulaski St, Fort Worth, TX 761042717. Office phone: 8174548055.
What is Dr. Kelly Moore's NPI?
Dr. Kelly Moore's National Provider Identifier (NPI) is 1669072112, issued by NPPES.