Individual
MR. KENDEL KOSANOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3505 W LINCOLNSHIRE BLVD, TOLEDO, OH 43606-1233
(419) 245-4150
Mailing address
3505 W LINCOLNSHIRE BLVD, TOLEDO, OH 43606-1233
(419) 245-4150
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OTA 00348
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OTA 00348
—
OH
Enumeration date
02/25/2014
Last updated
02/25/2014
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