Individual
KEVIN BRETT BILTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5103 DEARTH RD, SPRINGBORO, OH 45066-7711
(937) 790-0540
Mailing address
5103 DEARTH RD, SPRINGBORO, OH 45066-7711
(937) 790-0540
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000270735
—
OH
Enumeration date
11/17/2020
Last updated
11/17/2020
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