# MR. RON ALAN MOORE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1821532540
- **Gender:** Man
- **Credential:** RN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 349292 | OH | — |
| 163WM0705X | Medical-Surgical Registered Nurse | 349292 | OH | Yes |
| 373H00000X | Day Training/Habilitation Specialist | 349292 | OH | — |

## Other

- **Enumeration date:** 12/14/2016
- **Last updated:** 12/14/2016