MR. Kenneth Levi Moore III, CNP

NPI #1013995323 in Dayton, Ohio

Provider Information

NPI Number
1013995323
Entity Type
Individual
Name
MR. Kenneth Levi Moore III, CNP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
CNP
Enumeration Date
Jan 6, 2006
Last Updated
Oct 2, 2025

Practice Location

Address
101 E ALEX BELL RD STE 190
City
Dayton
State
Ohio
ZIP Code
45459-2752
Phone
(937) 425-4030

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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