Individual
KLYSHEE BRIONNE ZACKARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2077 VALLEY FORGE DR, KETTERING, OH 45440-3031
(937) 250-9288
Mailing address
2077 VALLEY FORGE DR, KETTERING, OH 45440-3031
(937) 250-9288
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.499980
OH
164W00000X
Licensed Practical Nurse
LPN.168149.MEDSIV
OH
Other
Enumeration date
09/18/2018
Last updated
05/02/2023
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