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NPI Code Detail

MEDICARE: KELLY C MORALES FNP-C

MEDICARE: KELLY C MORALES FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAP139461TX
2363LF0000XFamily Nurse PractitionerC-APN.0002612-C-NPCO

General Provider Information

NPI Number : 1811465313
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLY C MORALES FNP-C
Provider Business Mailing Address
First Line : 3455 RINGSBY CT STE 101
Second Line :
City : DENVER
State : CO
Zip : 80216-4923
Country : US
Telephone Number : 956-596-9442
Fax Number :
Provider Business Practice Location Address
First Line : 3455 RINGSBY CT STE 101
Second Line :
City : DENVER
State : CO
Zip : 80216-4923
Country : US
Telephone Number : 956-428-2386
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2018
Last Update Date : 07/14/2025

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Directions to “ KELLY C MORALES FNP-C” Practice Location

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