NPI 1124902937

Kelli I Moon, LPN

Practitioner Licensed Practical Nurse Grand Island, NE

Practice location

Address: 2201 N Broadwell Ave, Grand Island, NE 68803-2153
Phone: (308) 382-3660
Fax: (308) 385-2738

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 18332 (NE)

Other Licensed Practical Nurse providers in Nebraska →

Registry record

NPI: 1124902937
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Aug 2025
Record last updated: 4 Aug 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.