| Dr Kenneth Lance Knickerbocker, DO | |
|
19900 State Route 739, Marysville, OH 43040-9256 | |
| (937) 642-0298 | |
| (937) 645-8329 |
| Full Name | Dr Kenneth Lance Knickerbocker |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 19900 State Route 739, Marysville, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316157472 | NPI | - | NPPES |
| 0102036816 | Other | VA | STATE LICENSE |
| 3203 | Other | OK | STATE LICENSE |
| 34 . 008177 | Other | OH | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34 . 008177 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth Lance Knickerbocker, DO 19900 State Route 739, Marysville, OH 43040-9256 Ph: (937) 642-0298 | Dr Kenneth Lance Knickerbocker, DO 19900 State Route 739, Marysville, OH 43040-9256 Ph: (937) 642-0298 |
Laura L Sorg, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 140 Colemans Crossing Boulevard, Suite 210, Marysville, OH 43040 Phone: 937-644-1441 Fax: 937-642-7760 | |
Kaleb T Deam, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 225 Stocksdale Dr, Marysville, OH 43040 Phone: 937-644-2070 Fax: 937-644-0105 | |
Alexandra Pelaez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 17853 State Route 31, Marysville, OH 43040 Phone: 937-578-4004 Fax: 937-578-4024 | |
Ryan E Hunt, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 Colemans Xing Ste C, Marysville, OH 43040 Phone: 937-578-4200 | |
Dr. Michael Lynn Fay, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 19900 State Route 739, Marysville, OH 43040 Phone: 937-642-0298 Fax: 937-645-8329 | |
David T Applegate Ii, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1044 Columbus Ave, Marysville, OH 43040 Phone: 937-644-1441 Fax: 937-642-7760 | |
Dr. Delia J. Herzog, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 388 Damascus Rd, Suite A, Marysville, OH 43040 Phone: 937-578-4040 Fax: 937-578-2602 |