KETTLIE JOSEPH DANIELS (NPI# 1790775054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790775054 |
| Entity Type | Individual |
| Full Name | KETTLIE JOSEPH DANIELS |
| Credential | MD |
| Practice Address |
980 South Byrne Road Toledo OH 43609 |
| Mailing Address |
980 S Byrne Rd Suite 250 Toledo OH 43609-1010 |
| Practice Telephone | 4198420140 |
| Practice Fax Number | 4198420142 |
| Mailing Telephone | 4198420140 |
| Mailing Fax Number | 4198420142 |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2012-11-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | OH35057621 | OH | Other Service Providers |
| Street Address |
980 SOUTH BYRNE ROAD |
| City | TOLEDO |
| State | OH |
| Zip Code | 43609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982186334 | Ciara Palmer | Licensed Practical Nurse | 2208 Dana St., Toledo, OH 43609 | 2018-09-02 |
| 1750738373 | Andreas Wilson | Contractor | 3416 Gibraltar Heights, Toledo, OH 43609 | 2016-05-24 |
| 1154780401 | Angel Rhunell Sawyer | Home Health Aide | 3459 Gibralter Heights Dr, Apt 05, Toledo, OH 43609 | 2016-02-15 |
| 1881059111 | Tatia Marie Brooks | Home Health Aide | 325 1/2 Mayberry, Toledo, OH 43609 | 2015-12-31 |
| 1023426129 | Verna Sharon Willis | Home Health Aide | 915 Wright, Toledo, OH 43609 | 2014-08-01 |
| 1548514557 | Ieshea Sealey | Home Health Aide | 456 Shasta Dr, Toledo, OH 43609 | 2012-10-30 |
| 1316104706 | Neighborhood Health Association | Clinic/Center | 732 Southside Community Health Center, Toledo, OH 43609 | 2008-05-22 |
| 1376700211 | Neighborhood Health Association | Clinic/Center | 1 Aurora Gonzalez Drive, Toledo, OH 43609 | 2008-05-19 |
| 1780922922 | Brian K Bugbee | Massage Therapist | 743 S Byrne Rd, Toledo, OH 43609-1005 | 2013-01-23 |
| 1932446523 | Cory M Knaggs | Massage Therapist | 743 S Byrne Rd, Toledo, OH 43609-1005 | 2013-01-16 |
| Find all providers in zip 43609 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | 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. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124662069 | Christle Rose Peter | Specialist | 3450 W Central Ave Ste 126, Toledo, OH 43606-1421 | 2019-11-04 |
| 1922571595 | Charlene L Smith | Specialist | 1334 E Manhattan Blvd, Toledo, OH 43608-1527 | 2019-01-07 |
| 1992292304 | Bio-serv Corporation | Specialist | 2620 Centennial Rd Ste F, Toledo, OH 43617-1800 | 2018-04-20 |
| 1457899932 | Thomas G Sherman Md Inc | Specialist | 3900 Sunforest Ct Ste 200, Toledo, OH 43623-4440 | 2017-02-06 |
| 1336698935 | Stephanie Yvette Bays | Specialist | 1304 Luscombe Dr, Toledo, OH 43614-2615 | 2016-09-25 |
| 1578833547 | Maneesha Pandey | Specialist | 2595 Arlington Ave, Toledo, OH 43614-2673 | 2012-01-09 |
| 1750671335 | Nataliya Petrovna Kozodoy | Specialist | 3000 Arlington Ave # Ms 1050, Graduate Medical Education, Toledo, OH 43614-2595 | 2011-04-15 |
| 1265611149 | Kris A. Kostrzewski M.d./phd Family Practice LLC. | Specialist | 6545 W Central Ave Ste 208, Toledo, OH 43617-1034 | 2007-10-29 |
| 1093921728 | Toledo Rehab Group | Specialist | 5705 Dorr St Ste 3, Toledo, OH 43615-4467 | 2007-05-16 |
| 1205051539 | Jen Whitlow | Specialist | 1860 Bobolink Ln, Toledo, OH 43615-3738 | 2007-04-13 |
| Find all providers in TOLEDO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.