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Individual

KENNETH ADLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4913 HARROUN RD, SYLVANIA, OH 43560-2197
(419) 841-3003
(419) 885-0203
Mailing address
PO BOX 8440, TOLEDO, OH 43623-0440
(419) 841-3003
(419) 885-0203

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35.03967
OH
2084P0800X
Psychiatry Physician
9518630
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0318418
OH
Enumeration date
09/14/2006
Last updated
11/17/2020
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