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

Individual provider Specialist · NPI 1790775054

Kettlie Joseph Daniels, MD is a Psychiatry in Toledo, Ohio. Graduated from University of Toledo College of Medicine in 1987, 39 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
39
Trained at
University of Toledo College of Medicine
Licensed in
OH
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

980 S Byrne Rd
Toledo, OH 43609
Phone: (419) 842-0140
Fax: (419) 842-0142
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence OH35057621 (OH)

Record details

NPI number1790775054
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 26, 2005
Last updated in NPPESNovember 5, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolUNIVERSITY OF TOLEDO COLLEGE OF MEDICINE
Graduated 1987 (39 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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