Individual
KIRBY B OBRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5830 MAD RIVER RD, DAYTON, OH 45459-1538
(513) 545-3042
Mailing address
5830 MAD RIVER RD, DAYTON, OH 45459-1538
(513) 545-3042
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
253Z00000X
In Home Supportive Care Agency
—
—
347C00000X
Private Vehicle
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
03/27/2022
Last updated
03/27/2022
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