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NPI Code Detail

MEDICARE: KRISTY DAYSON

MEDICARE: KRISTY DAYSON
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1679029847
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTY DAYSON
Provider Business Mailing Address
First Line : 2880 MISSION DR
Second Line :
City : SHELBYVILLE
State : MI
Zip : 49344-9580
Country : US
Telephone Number : 269-397-1760
Fax Number : 269-397-1761
Provider Business Practice Location Address
First Line : 2880 MISSION DR
Second Line :
City : SHELBYVILLE
State : MI
Zip : 49344-9580
Country : US
Telephone Number : 269-397-1760
Fax Number : 269-397-1761
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2016
Last Update Date : 11/24/2025

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Directions to “ KRISTY DAYSON ” Practice Location

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