Individual
KEN CHARBAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5523 WOODBRIDGE LN, DAYTON, OH 45429-2061
(937) 430-5800
Mailing address
5523 WOODBRIDGE LN, DAYTON, OH 45429-2061
(937) 430-5800
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
RM369429
OH
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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