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Individual

ASHLEY KRISTINA CLEVENGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
110 N MAIN ST STE 350, DAYTON, OH 45402-3735
(937) 499-8263
Mailing address
526 CORONA AVE APT B, DAYTON, OH 45419-2207
(317) 432-1858

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10004861A
IN
363A00000X
Physician Assistant
Primary
50.00733RX
OH

Other

Enumeration date
01/04/2022
Last updated
06/23/2025
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