Individual
KYLE DREYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10547 MONTGOMERY RD, MONTGOMERY, OH 45242
(513) 346-1534
(513) 791-6788
Mailing address
4685 FOREST AVE, CINCINNATI, OH 45212-3397
(513) 853-4722
(513) 852-8525
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.005562RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0286061
—
OH
Enumeration date
05/19/2018
Last updated
08/27/2018
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