Individual
KELLEY HAIRSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2332 WESTPORT DR, DAYTON, OH 45406-1243
(937) 607-2277
Mailing address
2332 WESTPORT DR, DAYTON, OH 45406-1243
(937) 607-2277
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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