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Dr. Kenneth Lance Knickerbocker, DO
Family Medicine Physician in Marysville, Ohio
NPI 1316157472

Kenneth Lance Knickerbocker is a Family Medicine Physician based in Marysville, OH. Kenneth Lance Knickerbocker practices in Marysville, OH and has the professional credentials of DO. The NPI Number for Kenneth Lance Knickerbocker is 1316157472 and holds a License No. 34 . 008177 (Ohio).

The current practice location address for Kenneth Lance Knickerbocker is 19900 State Route 739, Marysville, OH and can be reached out via phone at 937-642-0298 and via fax at 937-645-8329.

Location: 19900 State Route 739, Marysville, OH, 43040-9256
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316157472
Provider Name
Kenneth Lance Knickerbocker
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
19900 State Route 739, Marysville, OH, 43040-9256
Phone Number
937-642-0298
Fax Number
937-645-8329
Provider Enumeration Date
05/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0102036816 01 VA STATE LICENSE
3203 01 OK STATE LICENSE
34 . 008177 01 OH STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
19900 State Route 739
City
Marysville
State
Ohio
Zip
43040-9256
Phone Number
937-642-0298
Fax Number
937-645-8329
person
Provider Business Mailing Address Details
Address
19900 State Route 739
City
Marysville
State
Ohio
Zip
43040-9256
Phone Number
937-642-0298
Fax Number
937-645-8329
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
34 . 008177 (Ohio)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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