Individual
DR DANIEL KELDERHOUSE INC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
201 S PARK AVE, FREMONT, OH 43420-2953
(419) 334-8941
(419) 334-5043
Mailing address
201 S PARK AVE, FREMONT, OH 43420-2953
(419) 334-8941
(419) 334-5043
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34003555K
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0519782
—
OH
01
—
341594732
INSURANCE CARRIERS
OH
Enumeration date
09/22/2005
Last updated
10/20/2011
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