Ms. Kelly Watkins Moore
Social Worker Clinical Social Worker
1901 Veterans Memorial Dr
Temple
, Texas 76504-7451
Ms. Kelly Watkins Moore
Social Worker Clinical Social Worker
1901 Veterans Memorial Dr
Temple
, Texas 76504-7451
(254) 743-2904
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About
Features
Specialties
- Social Worker
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- Ms. Kelly Watkins Moore
- 463 Westfield Blvd Apt 913
- Temple, TX
- Zip : 76502-5318
- Phone : (254) 743-2904
Second Address
- Ms. Kelly Watkins Moore
- 1901 Veterans Memorial Dr
- Temple, TX
- Zip : 76504-7451
- Phone : (254) 743-2904
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 104100000X | Social Worker | 35991 | TX |
| N | 1041C0700X | Clinical Social Worker | 35991 | TX |
National Provider Identifier
| NPI | 1003846304 |
|---|---|
| Provider Name | Ms. Kelly Watkins Moore |
| First Address | Temple, TX 76502-5318 |
| Second Address | Temple, TX 76504-7451 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/07/2006 |
| Last Update Date | 15/04/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.