Individual
MR. KYLE ANTHONY CROSTHWAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
30 E APPLE ST, SUITE 5253, DAYTON, OH 45409-2939
(937) 208-2552
(937) 208-6154
Mailing address
725 UNIVERSITY BLVD, DAYTON, OH 45435-0001
(937) 245-7100
(937) 245-7999
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50-003894
OH
Other
Enumeration date
08/30/2013
Last updated
11/21/2013
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