Individual
MR. JOSEPH KENNETH WAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
405 W GRAND AVE, DAYTON, OH 45405-7538
(937) 723-3276
Mailing address
1 PRESTIGE PL STE 550, MIAMISBURG, OH 45342-6115
(937) 762-1310
(937) 522-8068
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
341753
NY
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0031460
OH
Other
Enumeration date
10/30/2019
Last updated
05/31/2024
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