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Individual

WILLIAM KLYKYLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
627 EDWIN C MOSES BLVD, EAST MEDICAL PLAZA, DAYTON, OH 45408
(937) 223-8840
Mailing address
725 UNIVERSITY BLVD, DAYTON, OH 45435-0001
(937) 245-7100
(937) 245-7999

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
35043392
OH
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
35043392
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0471994
OH
Enumeration date
04/26/2006
Last updated
04/02/2013
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