Individual
JENNIFER ROSE KAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3333 W TECH RD, MIAMISBURG, OH 45342-0955
(937) 885-4475
(937) 885-3670
Mailing address
PO BOX 933432, CLEVELAND, OH 44193-0039
(937) 641-5072
(937) 641-6129
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.008313RX
OH
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0029412
—
OH
Enumeration date
09/18/2023
Last updated
03/26/2026
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