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Kyle William Bauer
Peer Specialist in Dayton, Ohio
NPI 1669108510

Kyle William Bauer is a Peer Specialist based in Kettering, OH. Kyle William Bauer practices in Dayton, OH. The NPI Number for Kyle William Bauer is 1669108510 and holds a License No. 0002714 (Ohio).

The current practice location address for Kyle William Bauer is 7301 Poe Ave, Dayton, OH and can be reached out via phone at 937-280-4631.

Location: 7301 Poe Ave, Dayton, OH, 45440-1514
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669108510
Provider Name
Kyle William Bauer
Credential
Provider Entity Type
Individual
Gender
Male
Address
7301 Poe Ave, Dayton, OH, 45440-1514
Phone Number
937-280-4631
Fax Number
Provider Enumeration Date
07/25/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7301 Poe Ave
City
Dayton
State
Ohio
Zip
45414-2559
Phone Number
937-280-4631
Fax Number
person
Provider Business Mailing Address Details
Address
7301 Poe Ave
City
Dayton
State
Ohio
Zip
45414-2559
Phone Number
937-280-4631
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
0002714 (Ohio)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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