Provider Demographics
NPI:1013762970
Name:SLYGH, KYRSTEN
Entity Type:Individual
Prefix:
First Name:KYRSTEN
Middle Name:
Last Name:SLYGH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2145 N DIXIE HWY LOT 9
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45801-3228
Mailing Address - Country:US
Mailing Address - Phone:567-371-2261
Mailing Address - Fax:
Practice Address - Street 1:2145 N DIXIE HWY LOT 9
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45801-3228
Practice Address - Country:US
Practice Address - Phone:567-371-2261
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-23
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker