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NPI Code Detail

MEDICARE: KINGSLEYAN HEALTHCARE SERVICES

MEDICARE: KINGSLEYAN HEALTHCARE SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QD1600XDevelopmental Disabilities Clinic/Center

General Provider Information

NPI Number : 1164386470
Entity Type Code : Organization
Provider Name (Legal Business Name) : KINGSLEYAN HEALTHCARE SERVICES
Provider Business Mailing Address
First Line : 1974 STEPPING STONE CT
Second Line :
City : CENTERVILLE
State : OH
Zip : 45458-6500
Country : US
Telephone Number : 937-624-9119
Fax Number :
Provider Business Practice Location Address
First Line : 1 ELIZABETH PL STE 100
Second Line :
City : DAYTON
State : OH
Zip : 45417-3445
Country : US
Telephone Number : 937-624-9119
Fax Number :
Authorized Official
Title or Position : CEO
Name : DR. KINGSLEY OROCK
Credential : PHARM.D
Telephone Number : 937-624-9119
Provider Enumeration Date : 12/11/2025
Last Update Date : 12/11/2025

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Directions to “KINGSLEYAN HEALTHCARE SERVICES ” Practice Location

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