Kettering Independent Medical Group INC
NPI #1629387865 in Miamisburg, Ohio
Provider Information
- NPI Number
- 1629387865
- Entity Type
- Organization
- Organization Name
- Kettering Independent Medical Group INC
- Primary Specialty
- Orthopaedic Surgery
- Enumeration Date
- Oct 6, 2010
- Last Updated
- Mar 27, 2023
Practice Location
- Address
- 1 PRESTIGE PL
- Address 2
- SUITE 910
- City
- Miamisburg
- State
- Ohio
- ZIP Code
- 45342-3794
- Phone
- (937) 762-1629
Authorized Official
- Name
- TIMOTHY Y KO
- Title
- CHIEF FINANCIAL OFFICER
- Phone
- (937) 395-8522
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Internal Medicine |
| Internal Medicine - Cardiovascular Disease — Cardiovascular Disease |
| Obstetrics & Gynecology |
| Surgery |
| Orthopaedic Surgery |
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