Individual
KYLAN TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
640 CAMBRIDGE AVE, DAYTON, OH 45402-5803
(937) 409-1354
Mailing address
640 CAMBRIDGE AVE, DAYTON, OH 45402-5803
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
08/19/2025
Last updated
08/19/2025
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