Individual
KENNETH RICHARD KOLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD DSC LAC
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
65000028
OH
Other
Enumeration date
12/28/2006
Last updated
03/01/2021
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