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Individual

KRISTAL SHAY DAILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
1170 TILE MILL RD, BEAVER, OH 45613-9435
(740) 226-1552
(740) 226-6412
Mailing address
1735 27TH ST STE B06, PORTSMOUTH, OH 45662-2681
(740) 356-8681
(740) 353-7900

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
COA.15146-NP
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0114609
OH
05
7100328360
KY
Enumeration date
06/08/2007
Last updated
12/21/2020
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