SearchOhio376K00000X

Kyondria Gaines

NPI 1902622996 · on the registry since 2024 · sole proprietor

Practice

Address
2257 Benton Ave
Dayton, OH 45406
Phone
(937) 219-4816

Registry record

Primary taxonomy
376K00000X
376K00000X
Also registered as
372600000X
374U00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-11-25

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