Kenneth Chester Moore, CNA

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

License

602564231124 Issued in OH

Practice address

130 Earnhart Dr
Carlisle, OH 45005-4286

Phone

(513) 716-0783

NPI assigned

Dec 19, 2025

Last updated

Dec 19, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1766102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1457216525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 EARNHART DR",
            "city": "CARLISLE",
            "state": "OH",
            "postal_code": "450054286",
            "telephone_number": "513-716-0783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 EARNHART DR",
            "city": "CARLISLE",
            "state": "OH",
            "postal_code": "450054286",
            "telephone_number": "513-716-0783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KENNETH",
        "middle_name": "CHESTER",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-12-19",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "OH",
            "license": "602564231124",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "OH",
            "license": "602564231124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joint Emergency Medical Services
• Joyce Koehl Seals, MS, ATC
• Georgianna Kay Magee
• John Magee
• Vicki McMurray
• Lauri Moore
• Bailey Jo Morgerson, RN
• Rebecca Suzanne Oconnell, RN
• Eunice Onuoha
• Pamela C Kline

• Personal Care Attendant in Carlisle, OH
• Providers in Carlisle, OH by specialty
• Personal Care Attendant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.