Individual
MISS DELAINE LYNN KENDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3371 KEMP RD, BEAVERCREEK, OH 45431-2514
(937) 458-4200
(937) 458-4209
Mailing address
1 PRESTIGE PL STE 550, MIAMISBURG, OH 45342-6115
(937) 762-1310
(937) 522-8068
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.005904RX
OH
Other
Enumeration date
02/16/2019
Last updated
12/29/2022
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