Individual
DANIEL WILLIAM KIDNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
405 W GRAND AVE, DAYTON, OH 45405-7538
(937) 723-3200
Mailing address
4256 SCHRUBB DR, DAYTON, OH 45429-1352
(937) 626-0080
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
019545
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
08/25/2017
Last updated
09/09/2017
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