Individual
KYLE WILLIAM BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7301 POE AVE, DAYTON, OH 45414-2559
(937) 280-4631
Mailing address
4317 FERNBROOK ST, KETTERING, OH 45440-1514
(937) 723-1590
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
0002714
OH
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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