Individual provider · Type 1 NPI

Kettlie Joseph Daniels, MD

Specialist · Toledo, OH

NPI number 1790775054 Active

Practice location

980 South Byrne Road
Toledo, OH 43609

Call (419) 842-0140 Map

Fax (419) 842-0142

Mailing address

980 S Byrne Rd, Suite 250
Toledo, OH 43609-1010

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XOH35057621 (OH)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1790775054

Kettlie Joseph Daniels, MD's National Provider Identifier is 1790775054, issued on Oct 26, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Toledo, OH. The record was last updated on Nov 5, 2012.