Provider Demographics
NPI:1760229124
Name:ORWIG, KYNNI
Entity type:Individual
Prefix:
First Name:KYNNI
Middle Name:
Last Name:ORWIG
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 1:6517 INNSDALE PL
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45424-3538
Mailing Address - Country:US
Mailing Address - Phone:937-529-1756
Mailing Address - Fax:
Practice Address - Street 1:6517 INNSDALE PL
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45424-3538
Practice Address - Country:US
Practice Address - Phone:937-529-1756
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-12
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)