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

Mr. Kenneth Levi Moore III, CNP

Individual provider Family Nurse Practitioner · NPI 1013995323

Mr. Kenneth Levi Moore III, CNP is a Nurse Practitioner in Dayton, Ohio. Qualified in 2013, 13 years ago. Practices with Alliance Physicians Inc, a 314-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
13
Licensed in
OH
In the registry since
2006
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

101 E Alex Bell Rd Ste 190
Dayton, OH 45459-2752
Phone: (937) 425-4030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5981 Far Hills Ave, Dayton, OH 45429-2211 — (937) 438-5954

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 273520 (OH)

Record details

NPI number1013995323
Entity typeIndividual (Type 1)
GenderMale
Credentials CNP
Sole proprietorNo
NPI enumeratedJanuary 6, 2006
Last updated in NPPESOctober 2, 2025
Certification dateOctober 2, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Alliance Physicians Inc — 314 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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