Mr Moise Kelly, is a 
Community Health Worker based in Mesa, Arizona. Mr Moise Kelly is licensed to practice in Arizona (license number 957399) and his current practice location is 
455 S Mesa Dr Unit 142, Mesa, Arizona. He can be reached at his office (for appointments etc.) via phone at 
(480) 277-0313.
NPI number for Mr Moise Kelly is 1447640958 and his current mailing address is 455 S Mesa Dr Unit 142, Mesa, Arizona. He 
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1447640958.
			
			
			
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Mr Moise Kelly | 
|---|
| Gender | Male | 
|---|
| Speciality | Community Health Worker | 
|---|
| Location | 455 S Mesa Dr Unit 142, Mesa, Arizona | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
|---|
			
			 
			
						  NPI Data:
			
			- NPI Number: 1447640958
- Provider Enumeration Date: 02/04/2015
- Last Update Date: 07/16/2019
 
		 
		 
Medical Identifiers
		Medical identifiers for Mr Moise Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1447640958 | NPI | - | NPPES | 
| 957399 | Medicaid | AZ |  | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 101Y00000X | Counselor | 957399 (Arizona) | Secondary | 
| 104100000X | Social Worker | 957399 (Arizona) | Secondary | 
| 171M00000X | Case Manager/care Coordinator | 957399 (Arizona) | Secondary | 
| 174H00000X | Health Educator | 957399 (Arizona) | Secondary | 
| 172V00000X | Community Health Worker | 957399 (Arizona) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Moise Kelly is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
|---|
		| Mr Moise Kelly, 455 S Mesa Dr Unit 142,
 Mesa, AZ 85210-2711
 Ph: (480) 616-3323
 | Mr Moise Kelly, 455 S Mesa Dr Unit 142,
 Mesa, AZ 85210-2711
 Ph: (480) 277-0313
 | 
		
		 
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