Individual
DR. KENNETH J BIROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9164 RUBY RIDGE ST NW, CANAL FULTON, OH 44614-8795
(330) 854-1892
(330) 776-5557
Mailing address
9164 RUBY RIDGE ST NW, CANAL FULTON, OH 44614-8795
(330) 854-1892
(330) 776-5557
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34003948
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0707417
—
OH
Enumeration date
04/10/2006
Last updated
09/19/2023
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