Individual
JOHN F KISSINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1151 CROYDEN DR, DAYTON, OH 45420-2273
(937) 361-4473
Mailing address
1151 CROYDEN DR, DAYTON, OH 45420-2273
(937) 361-4473
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
M5709684
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2919828
—
OH
Enumeration date
11/14/2020
Last updated
11/14/2020
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