Individual
KRISTEN BACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN, EMTP
Contact information
Practice address
2942 DAYTON XENIA RD, BEAVERCREEK, OH 45434-6306
(937) 458-2549
(937) 429-7688
Mailing address
2942 DAYTON XENIA RD, BEAVERCREEK, OH 45434-6306
(937) 458-2549
(937) 429-7688
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN.502663
OH
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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