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1013995323
KENNETH LEVI MOORE
DAYTON, OH
NPI
1013995323
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OH 273520)
Enumeration Date
2006-01-06
Last Update Date
2021-01-12
Business Address
Mr. KENNETH LEVI MOORE CNP
5981 FAR HILLS AVE
DAYTON, OH 45429-2211
Phone number: 937-438-5954
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Mailing Address
Mr. KENNETH LEVI MOORE CNP
415 BYERS RD STE 300
MIAMISBURG, OH 45342-3684
Phone number: 937-866-2494
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