Individual
DR. KENNETH P POHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5692 FAR HILLS AVE, SUITE 4, DAYTON, OH 45429-2239
(937) 433-2054
(937) 433-1069
Mailing address
1 PRESTIGE PL, SUITE 550, MIAMISBURG, OH 45342-3794
(937) 762-1305
(937) 522-7513
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35-03-2228P
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000008801
ANTHEM
OH
01
—
0985140
UNITED HEALTHCARE
OH
05
—
3129911
—
OH
Enumeration date
01/27/2006
Last updated
01/05/2021
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