Kylan Tucker

NPI #1003793100 in Dayton, Ohio

Provider Information

NPI Number: 1003793100
Entity Type: Individual
Name: Kylan Tucker
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Enumeration Date: Aug 19, 2025
Last Updated: Aug 19, 2025

Practice Location

Address: 640 CAMBRIDGE AVE
City: Dayton
State: Ohio
ZIP Code: 45402-5803
Phone: (937) 409-1354

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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