Individual
DR. KEVIN HAIRSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1969 HAVERTON DR, REYNOLDSBURG, OH 43068-3121
(614) 754-0183
Mailing address
1969 HAVERTON DR, REYNOLDSBURG, OH 43068-3121
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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