Individual
MADISON KAYE OAKES-DUTKEVITCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8459 COLERAIN AVE, CINCINNATI, OH 45239-3938
(434) 944-0053
Mailing address
1430 OAK CT STE 100, BEAVERCREEK, OH 45430-1064
(937) 404-1101
(937) 404-1210
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.007821RX
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2022
Last updated
12/11/2024
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