Individual
KENNETH WAYNE COLLIER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2554 NEEDMORE RD # C2, DAYTON, OH 45414-4204
(937) 672-0894
Mailing address
PO BOX 13353, DAYTON, OH 45413-0353
(937) 672-0894
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
114336
OH
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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