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DR. KENNETH LANCE KNICKERBOCKER D.O.
NPI 1316157472
Family Medicine in Marysville, OH

Active since May 23, 2007
19900 STATE ROUTE 739, MARYSVILLE, OH 43040(937) 642-0298(937) 645-8329 Get Directions Write a Review

NPPES record last updated: December 16, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kenneth Lance Knickerbocker D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH LANCE KNICKERBOCKER D.O. (NPI 1316157472) is an individual family medicine provider in Marysville, Ohio, licensed in Ohio (34 . 008177) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1316157472
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KENNETH LANCE KNICKERBOCKERCredential: D.O.
Location Address19900 STATE ROUTE 739Marysville, OH 43040-9256
Mailing Address19900 State Route 739Marysville, OH 43040-9256 · (937) 642-0298 · Fax (937) 645-8329
Phone(937) 642-0298
Fax(937) 645-8329
Sole ProprietorNo
Enumeration DateMay 23, 2007
Last NPPES UpdateDecember 16, 2009
✔ NPI 1316157472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 34 . 008177
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.
19900 STATE ROUTE 739, Marysville, OH 43040
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Other Identifiers 4

Other34 . 008177OH · State License
Other3203OK · State License
Medicare UPINF89383
Other0102036816VA · State License

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEALTH PARTNERS LIMITED
Clinic/Center (Occupational Medicine)
19900 STATE ROUTE 739
MARYSVILLE, OH 43040
Union County (937) 642-0298
DR. MICHAEL LYNN FAY M.D.
Family Medicine
19900 STATE ROUTE 739
MARYSVILLE, OH 43040
Union County (937) 642-0298
MARY LOUISE NAUMAN M.D.
Neuromusculoskeletal Medicine, Sports Medicine
19900 STATE ROUTE 739
MARYSVILLE, OH 43040
Union County (937) 642-0298
ALLISON L POND D.O.
Family Medicine
19900 STATE ROUTE 739
MARYSVILLE, OH 43040
Union County (937) 642-0298
MORGAN MARIE TRIPLETT PTA
Physical Therapy Assistant
19900 STATE ROUTE 739
MARYSVILLE, OH 43040
Union County (937) 642-0298
DR. SUDHA SWAMY THOMPSON MD
Neuromusculoskeletal Medicine, Sports Medicine
19900 STATE ROUTE 739
MARYSVILLE, OH 43040
Union County (937) 642-0298

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Knickerbocker's NPI number?

The NPI number for Kenneth Knickerbocker is 1316157472. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Kenneth Knickerbocker located?

Kenneth Knickerbocker practices at 19900 State Route 739, Marysville, OH 43040. The listed phone number is (937) 642-0298.

What is Kenneth Knickerbocker's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Kenneth Knickerbocker was last updated on December 16, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.