Individual
MISS KENYA LAKESHIA CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4130 EDISON ST, DAYTON, OH 45417-1203
(937) 613-2000
Mailing address
4130 EDISON ST, DAYTON, OH 45417-1203
(937) 613-2000
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
251E00000X
Home Health Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/02/2021
Last updated
09/14/2022
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