Individual
MR. JEFFREY KENT KNODERER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
217 NORTH MAIN AVENUE, SIDNEY, OH 45365
(937) 492-0028
(937) 492-7882
Mailing address
217 NORTH MAIN AVENUE, SIDNEY, OH 45365
(937) 492-0028
(937) 492-7882
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
858
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0450239
—
OH
Enumeration date
10/05/2006
Last updated
07/08/2007
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