Individual
KYLE MATTHEW JEFFERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11156 CANAL RD, CINCINNATI, OH 45241-5815
(513) 772-6116
Mailing address
6844 MEADOWDALE CIR, CINCINNATI, OH 45243-2552
(513) 722-5202
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
2255A2300X
Athletic Trainer
—
—
227900000X
Registered Respiratory Therapist
—
—
Other
Enumeration date
01/26/2021
Last updated
02/18/2022
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