Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KENNETH LANCE KNICKERBOCKER, D.O.

Active

DR. KENNETH LANCE KNICKERBOCKER, D.O. is a Family Medicine healthcare provider located in MARYSVILLE, Ohio. NPI 1316157472 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · MARYSVILLE, OH

Registration Details

NPI Number: 1316157472
Provider Type: Individual
Gender: Male
NPI Issued: May 23, 2007 (19.043517159165 yrs)
Last Updated: Dec 16, 2009
License: 34 . 008177 (OH)

Practice Information

Address: 19900 STATE ROUTE 739

MARYSVILLE, OH, 430409256
Browse OH providers · Browse ZIP 43040
Phone: 9376420298
Fax: 9376458329
Primary Specialty: Family Medicine
207Q00000X

Other Family Medicine Providers in MARYSVILLE, OH

Name	Credential	NPI
DR. JOSEPH C LINSCOTT	DO	1811993801
ALLISON L POND	D.O.	1700879764
THOMAS J MCCONNELL	D.O.	1679569784
SUSANNA E JOHNSON	M.D.	1487640595
DR. WENDY L SUMMERHILL	M.D.	1881668218
WILLIAM D. FIORINI	M.D.	1811961006

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.