Individual
DR. KEVIN L SNEIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
611 FULTON STREET, SUITE B, PORT CLINTON, OH 43452-2008
(419) 734-3338
(419) 734-2195
Mailing address
611 FULTON ST, SUITE B, PORT CLINTON, OH 43452
(419) 734-3338
(419) 734-2195
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36-002578
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0609756
—
OH
01
—
137445
ANTHEM BCBS OF OHIO
OH
Enumeration date
08/27/2006
Last updated
05/07/2009
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