Individual
MR. KENNETH JOHN MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT,NMT
Contact information
Practice address
430 N MARKET ST, WOOSTER, OH 44691-3516
(330) 262-4445
(330) 262-7369
Mailing address
430 N MARKET ST, WOOSTER, OH 44691-3516
(330) 262-4445
(330) 262-7369
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
33007814
OH
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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