Individual
KYLE DEE DELOTELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8843 STATE ROUTE 335, MINFORD, OH 45653-8669
(419) 310-7036
Mailing address
1241 HOGAN ST, PORTSMOUTH, OH 45662-6423
(740) 876-2362
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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