Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kennan Ashton Moore, FNP

Individual provider Family Nurse Practitioner · NPI 1518496660

Kennan Ashton Moore, FNP is a Nurse Practitioner in Fort Smith, Arkansas. Qualified in 2016, 10 years ago. Practices with Western Arkansas Counseling and Guidance Center, Inc, a 64-clinician group and works from 3 locations. Licensed in Arkansas.

Years since qualifying
10
Licensed in
AR
In the registry since
2017
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

7301 Rogers Ave Ste 4
Fort Smith, AR 72903-4100
Phone: (479) 931-4490
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3117 S 70th St, Fort Smith, AR 72903-5017 — (479) 785-9400
  • 3111 S 70th St, Fort Smith, AR 72903-5017 — (479) 452-6650

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence A005133 (AR)

Record details

NPI number1518496660
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJune 11, 2017
Last updated in NPPESMarch 16, 2026
Certification dateMarch 16, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Western Arkansas Counseling And Guidance Center, Inc — 64 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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