person
Mr. Kenneth Levi Moore III, CNP
Family Nurse Practitioner in Dayton, Ohio
NPI 1013995323

Kenneth Levi Moore III is a Family Nurse Practitioner based in Miamisburg, OH and is specialized in Family. Kenneth Levi Moore III practices in Dayton, OH and has the professional credentials of CNP. The NPI Number for Kenneth Levi Moore III is 1013995323 and holds a License No. 273520 (Ohio).

The current practice location address for Kenneth Levi Moore III is 5981 Far Hills Ave, Dayton, OH and can be reached out via phone at 937-438-5954.

Location: 5981 Far Hills Ave, Dayton, OH, 45342-3684
person
Provider Profile Details
NPI Number
1013995323
Provider Name
Kenneth Levi Moore III
Credential
CNP
Provider Entity Type
Individual
Gender
Male
Address
5981 Far Hills Ave, Dayton, OH, 45342-3684
Phone Number
937-438-5954
Fax Number
Provider Enumeration Date
01/06/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
5981 Far Hills Ave
City
State
Zip
45429-2211
Phone Number
937-438-5954
Fax Number
person
Provider Business Mailing Address Details
Address
5981 Far Hills Ave
City
State
Zip
45429-2211
Phone Number
937-438-5954
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
273520 (Ohio)
Definition
Definition to come...
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