DR. Kenneth Lance Knickerbocker, D.O.
NPI #1316157472 in Marysville, Ohio
Provider Information
- NPI Number
- 1316157472
- Entity Type
- Individual
- Name
- DR. Kenneth Lance Knickerbocker, D.O.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- D.O.
- Enumeration Date
- May 23, 2007
- Last Updated
- Dec 16, 2009
Practice Location
- Address
- 19900 STATE ROUTE 739
- City
- Marysville
- State
- Ohio
- ZIP Code
- 43040-9256
- Phone
- (937) 642-0298
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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