Moore, Kenneth Levi

Moore, Kenneth Levi is an individual health care provider with primary practice located at 5981 Far Hills Ave , Dayton OH 45429-2211. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Moore, Kenneth Levi can be contacted via phone (937) 438-5954.

Contact Information

Primary practice address
5981 Far Hills Ave Dayton OH 45429-2211
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 273520 Ohio

Profile Details

NPI number 1013995323
LBN Legal business name Moore, Kenneth Levi
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2006
Last updated Jan 12th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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