Provider Demographics
NPI:1205031176
Name:MCLEOD, KENNETH MARSHAL (DC)
Entity Type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:MARSHAL
Last Name:MCLEOD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:668 S EAGLE ST
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:OH
Mailing Address - Zip Code:44041-1524
Mailing Address - Country:US
Mailing Address - Phone:440-813-0285
Mailing Address - Fax:
Practice Address - Street 1:23 S FOREST ST
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:OH
Practice Address - Zip Code:44041-1620
Practice Address - Country:US
Practice Address - Phone:440-466-0860
Practice Address - Fax:440-466-0710
Is Sole Proprietor?:No
Enumeration Date:2007-06-19
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3882111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor