Individual
DR. BARRY JOHN KOTHEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
102 E PARK ST, CHARDON, OH 44024
(440) 286-2225
(440) 286-3058
Mailing address
102 E PARK ST, CHARDON, OH 44024
(440) 286-2225
(440) 286-3058
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1511
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0759479
—
OH
Enumeration date
11/15/2006
Last updated
07/08/2007
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