Individual
KENNETH CHESTER MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNA
Contact information
Practice address
130 EARNHART DR, CARLISLE, OH 45005-4286
(513) 716-0783
Mailing address
130 EARNHART DR, CARLISLE, OH 45005-4286
(513) 716-0783
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
602564231124
OH
376J00000X
Homemaker
602564231124
OH
Other
Enumeration date
12/19/2025
Last updated
12/19/2025
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