Wysong, Kenneth L.

Wysong, Kenneth L. is an sole proprietor health care provider with primary practice located at 105 Mcvey Pl , Springboro OH 45066-1125. He recently has only one registered license in Agencies / In Home Supportive Care, which is considered as his primary health care specialty. Wysong, Kenneth L. can be contacted via phone (937) 231-0286.

Contact Information

Primary practice address
105 Mcvey Pl Springboro OH 45066-1125
Phone: (937) 231-0286
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1588271217
LBN Legal business name Wysong, Kenneth L.
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2020
Last updated Sep 27th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588271217 NPPES
Ohio MEDICAID 8305130

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