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Kenton Durham

NPI 1326755729 · on the registry since 2022 · sole proprietor

Practice

Address
2960 W Enon Rd
Xenia, OH 45385
Phone
(937) 272-4925
Fax
(937) 984-4346
Organisation at this address
Emerge Recovery And Trades Initiative
Emerge Recovery And Trades Initiative
Inferred from a shared address, not stated in the registry.
Clinicians at this address
34

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Also registered as
101YA0400X
101YA0400X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-05-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio