Individual
DILLAN G KINSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5760 PATRIOT BLVD, AUSTINTOWN, OH 44515-1170
(330) 953-0243
Mailing address
5760 PATRIOT BLVD, AUSTINTOWN, OH 44515-1170
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.176387.MEDS-IV
OH
Other
Enumeration date
02/14/2022
Last updated
02/14/2022
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