KENNAN ASHTON MOORE

FORT SMITH, AR
NPI1518496660
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AR  A005133)
Enumeration Date2017-06-11
Last Update Date2024-03-08
Business Address
KENNAN ASHTON MOORE FNP
3117 S 70TH ST
FORT SMITH, AR 72903-5017
Phone number: 479-785-9400
Mailing Address
KENNAN ASHTON MOORE FNP
PO BOX 11818
FORT SMITH, AR 72917-1818
Phone number: 479-452-6650
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