Individual
KETTLIE JOSEPH DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
980 SOUTH BYRNE ROAD, TOLEDO, OH 43609
(419) 842-0140
(419) 842-0142
Mailing address
980 S BYRNE RD, SUITE 250, TOLEDO, OH 43609-1010
(419) 842-0140
(419) 842-0142
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OH35057621
OH
Other
Enumeration date
10/26/2005
Last updated
11/05/2012
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