Kelley Marie Moody, NP-C
Nurse Practitioner, Family in Hartsville, SC. Individual provider (NPI-1).
NPI number1194358317
StatusActive
Last updated in NPPESOct 13, 2026
Details
- NPI
- 1194358317
- Entity type
- Individual (NPI-1)
- Name
- Miss Kelley Marie Moody
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 17, 2020
- Certification date
- Oct 13, 2026
- Last updated
- Oct 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 23682 | SC | Yes |
Practice location
702 W Carolina AveHartsville, SC 29550-4412
Phone 843-951-9990 · Fax 843-951-9989
Mailing address
702 W Carolina AveHartsville, SC 29550-4412
Phone 843-995-9990 · Fax 843-951-9989
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All 29 Family Nurse Practitioner providers in Hartsville · All 559 providers in Hartsville
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