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Individual

KYRA BILLUPS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
STNA

Contact information

Practice address
35 HEFFRON DR APT 9, FAIRFIELD, OH 45014-7723
(283) 219-5150
Mailing address
35 HEFFRON DR APT 9, FAIRFIELD, OH 45014-7723
(283) 219-5150

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401986380717
OH
376K00000X
Nurse's Aide
4032633
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
401986380717
STNA LICENSE NUMBER
OH
01
4032633
STNA LICENSE NUMBER
KY
Enumeration date
08/04/2025
Last updated
08/04/2025
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