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NPI Code Detail

MEDICARE: KENNETH ADLER M.D.

MEDICARE: KENNETH ADLER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician9518630OH
22084P0800XPsychiatry Physician35.03967OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619072659
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENNETH ADLER M.D.
Provider Business Mailing Address
First Line : PO BOX 8440
Second Line :
City : TOLEDO
State : OH
Zip : 43623-0440
Country : US
Telephone Number : 419-841-3003
Fax Number : 419-885-0203
Provider Business Practice Location Address
First Line : 4913 HARROUN RD
Second Line :
City : SYLVANIA
State : OH
Zip : 43560-2197
Country : US
Telephone Number : 419-841-3003
Fax Number : 419-885-0203
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2006
Last Update Date : 11/17/2020

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Directions to “ KENNETH ADLER M.D.” Practice Location

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