Individual
CHRISTY J WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
9181 E KEMPER RD, MONTGOMERY, OH 45249-2707
(513) 972-0512
Mailing address
9181 E KEMPER RD, MONTGOMERY, OH 45249-2707
(513) 972-0512
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
180685
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0380779
—
OH
Enumeration date
01/04/2022
Last updated
01/04/2022
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