DR. Kevin Hairston

NPI #1871045930 in Reynoldsburg, Ohio

Provider Information

NPI Number: 1871045930
Entity Type: Individual
Name: DR. Kevin Hairston
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: Oct 25, 2016
Last Updated: Oct 25, 2016

Practice Location

Address: 1969 HAVERTON DR
City: Reynoldsburg
State: Ohio
ZIP Code: 43068-3121
Phone: (614) 754-0183

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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