Individual
KENNETH DANIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3188 BELLEVUE AVE, CINCINNATI, OH 45219-2369
(513) 558-2043
Mailing address
3200 BURNET AVE, CINCINNATI, OH 45229-3019
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01090096A
IN
2085R0202X
Diagnostic Radiology Physician
Primary
35.151209
OH
Other
Enumeration date
04/01/2018
Last updated
06/25/2024
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