Kettlie Joseph Daniels in Toledo - Specialist

Kettlie Joseph Daniels - NPI 1790775054

Kettlie Joseph Daniels is a Specialist in Toledo, Ohio. Kettlie Joseph Daniels practices all healthcare services and medical treatments related to Specialist. The NPI Number for Kettlie Joseph Daniels is 1790775054. The last update date is 2012-11-05.

Kettlie Joseph Daniels's current location address is 980 S Byrne Rd, Toledo, Ohio. You can contact this provider via phone number 4198420140 and fax number 4198420142. The mailing address for Kettlie Joseph Daniels is 980 S Byrne Rd, Toledo, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Kettlie Joseph Daniels
Address 980 S Byrne Rd, Toledo, Ohio
Phone Number 4198420140
Fax Number 4198420142
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1790775054
Provider Enumeration Date 2005-10-26
Last Updated Date 2012-11-05

Provider Mailing Address Detail

Address 980 S Byrne Rd
City Toledo
State Ohio (OH)
Post Code 436091010
Phone Number 4198420140
Fax Number 4198420142

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No OH35057621
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs about Kettlie Joseph Daniels

What is the unique 10-digit identification code assigned to Kettlie Joseph Daniels by the Centers for Medicare & Medicaid Services?

The Kettlie Joseph Daniels has been issued the NPI (National Provider Identifier) 1790775054, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Kettlie Joseph Daniels is physically located?

The Kettlie Joseph Daniels is physically situated at the following address: 980 S Byrne Rd, Toledo, OH, 436091010.

What is the Kettlie Joseph Daniels's specialty and taxonomy code?

The Kettlie Joseph Daniels's specialty is Specialist, and the corresponding taxonomy code is 174400000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1790775054 to Kettlie Joseph Daniels?

The Centers for Medicare & Medicaid Services assigned the 1790775054 to Kettlie Joseph Daniels on 2005-10-26.

As of what date were the details related to Kettlie Joseph Daniels most recently updated or revised?

The information pertaining to Kettlie Joseph Daniels, including its address, specialty, and other relevant details, was last updated or revised on 2012-11-05.

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