KENNETH LANCE KNICKERBOCKER

MARYSVILLE, OH
NPI1316157472
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: OH  34 . 008177)
Enumeration Date2007-05-23
Last Update Date2009-12-16
Business Address
DR. KENNETH LANCE KNICKERBOCKER D.O.
19900 STATE ROUTE 739
MARYSVILLE, OH 43040-9256
Phone number: 937-642-0298
Mailing Address
DR. KENNETH LANCE KNICKERBOCKER D.O.
19900 STATE ROUTE 739
MARYSVILLE, OH 43040-9256
Phone number: 937-642-0298
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