Kettering Independent Medical Group INC
NPI #1083911390 in Miamisburg, Ohio
Provider Information
- NPI Number
- 1083911390
- Entity Type
- Organization
- Organization Name
- Kettering Independent Medical Group INC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Feb 23, 2011
- Last Updated
- Jun 13, 2023
Practice Location
- Address
- 4000 MIAMISBURG CENTERVILLE RD
- Address 2
- STE. 230
- City
- Miamisburg
- State
- Ohio
- ZIP Code
- 45342-7615
- Phone
- (937) 384-0790
Authorized Official
- Name
- TIMOTHY Y KO
- Title
- CFO
- Phone
- (937) 558-3223
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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