Organization
KETTLIE JOSEPH DANIELS, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KETTLIE JOSEPH DANIELS MD (PRESIDENT)
(419) 842-0140
Entity
Organization
Contact information
Practice address
980 S BYRNE RD, TOLEDO, OH 43609-1010
(419) 842-0140
(419) 842-0142
Mailing address
980 S BYRNE RD, TOLEDO, OH 43609-1010
(419) 842-0140
(419) 842-0142
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35057621
OH
Other
Enumeration date
10/04/2010
Last updated
10/04/2010
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