HATTIE KELLY-MOODY RN NPI 1528213568

NPI Information

NPI: 1528213568
Provider Name: HATTIE KELLY-MOODY, RN
Classification: Registered Nurse - 163WA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
460 MAIN ST
BUFFALO, NY
ZIP 14202
Phone: (716) 855-0163
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Hattie Kelly-moody, RN is an addiction (substance use disorder) registered nurse in Buffalo, NY. Hattie Kelly-moody, RN NPI is 1528213568. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

460 MAIN ST
BUFFALO, NY
ZIP 14202-203
Phone: (716) 855-0163
Fax: (716) 855-2023

The enumeration date for this NPI number is 11/18/2008 and was last updated on 11/18/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WA0400X	Registered Nurse	Addiction (Substance Use Disorder)	00359841	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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