Keely Moore
Community Health Worker in Clovis, NM. Individual provider (NPI-1).
NPI number1619828043
StatusActive
Last updated in NPPESFeb 3, 2026
Details
- NPI
- 1619828043
- Entity type
- Individual (NPI-1)
- Name
- Keely Moore
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 3, 2026
- Certification date
- Feb 3, 2026
- Last updated
- Feb 3, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
713 Rencher StClovis, NM 88101-6559
Phone 575-935-6262
Mailing address
321 Commerce WayClovis, NM 88101-4750
Phone 575-935-6262
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Other Community Health Worker providers in Clovis, NM
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All 54 Community Health Worker providers in Clovis · All 1,421 providers in Clovis
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