National Provider Identifier
Hattie Kelly-Moody, RN
Hattie Kelly-Moody, RN is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Registered Nurse in Buffalo, NY and a listed phone number of (716) 855-0163.
Profile Overview
- NPI
- 1528213568
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Registered Nurse
- Enumeration Date
- November 18, 2008
- Last Updated
- November 18, 2008
Practice Location
- 460 Main St
- Buffalo, NY 14202-3203
Phone: (716) 855-0163
Specialties
- Addiction (Substance Use Disorder) Registered Nurse (163WA0400X)
Full Record
- NPI
- 1528213568
- Entity Type
- Individual
- Last Name
- Kelly-Moody
- First Name
- Hattie
- Credential
- RN
- Mailing Street Address
- 460 Main St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14202-3203
- Mailing Country
- US
- Mailing Phone
- (716) 855-0163
- Mailing Fax
- (716) 855-2023
- Practice Street Address
- 460 Main St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14202-3203
- Practice Country
- US
- Practice Phone
- (716) 855-0163
- Practice Fax
- (716) 855-2023
- Enumeration Date
- November 18, 2008
- Last Updated
- November 18, 2008
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Addiction (Substance Use Disorder) Registered Nurse (163WA0400X)