Kettlie Joseph Daniels, MD

NPI #1790775054 in Toledo, Ohio

Provider Information

NPI Number: 1790775054
Entity Type: Individual
Name: Kettlie Joseph Daniels, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: MD
Enumeration Date: Oct 26, 2005
Last Updated: Nov 5, 2012

Practice Location

Address: 980 SOUTH BYRNE ROAD
City: Toledo
State: Ohio
ZIP Code: 43609
Phone: (419) 842-0140

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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