KENNETH HERBOLD

CLEVELAND, OH
NPI1437194479
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OH  50-00-1954)
Enumeration Date2006-06-16
Last Update Date2007-07-31
Business Address
Mr. KENNETH HERBOLD pa-c
9500 EUCLID AVE
CLEVELAND, OH 44195-0001
Phone number: 216-444-0241
Mailing Address
Mr. KENNETH HERBOLD pa-c
9500 EUCLID AVE
CLEVELAND, OH 44195-0001
Phone number: 216-444-0241