KENNETH LEVI MOORE

DAYTON, OH
NPI1013995323
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OH  273520)
Enumeration Date2006-01-06
Last Update Date2021-01-12
Business Address
Mr. KENNETH LEVI MOORE CNP
5981 FAR HILLS AVE
DAYTON, OH 45429-2211
Phone number: 937-438-5954
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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