| Kettlie Joseph Daniels, Md, Inc. | |
|
980 S Byrne Rd Toledo OH 43609-1010 | |
| (419) 842-0140 | |
| (419) 842-0142 |
| Full Name | Kettlie Joseph Daniels, Md, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 980 S Byrne Rd, Toledo, Ohio |
| Authorized Official Name and Position | Kettlie Joseph Daniels (PRESIDENT) |
| Authorized Official Contact | 4198420140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kettlie Joseph Daniels, Md, Inc. 980 S Byrne Rd Toledo OH 43609-1010 Ph: (419) 842-0140 | Kettlie Joseph Daniels, Md, Inc. 980 S Byrne Rd Toledo OH 43609-1010 Ph: (419) 842-0140 |
| NPI Number | 1144539412 |
|---|---|
| Provider Enumeration Date | 10/04/2010 |
| Last Update Date | 10/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144539412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 35057621 (Ohio) | Primary |
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