Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kenneth Lance Knickerbocker, DO

Individual provider Family Medicine Physician · NPI 1316157472

Dr. Kenneth Lance Knickerbocker, DO is a Family Medicine Physician in Marysville, Ohio. Licensed in Ohio. Registered with an NPI since 2007.

Licensed in
OH
In the registry since
2007
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

19900 State Route 739
Marysville, OH 43040-9256
Phone: (937) 642-0298
Fax: (937) 645-8329
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 34 . 008177 (OH)

Record details

NPI number1316157472
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 23, 2007
Last updated in NPPESDecember 16, 2009
Mailing address19900 State Route 739, Marysville, OH 43040-9256

Other providers in Marysville