# ALLIANCE PHYSICIANS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kettering Health Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437125572
- **Authorized official:** TIMOTHY Y KO (CFO)
- **Authorized official phone:** (937) 558-3223

## Contact information

- **Practice address:** 1827 WOODMAN CENTER DR, KETTERING, OH 45420-1157
- **Practice address phone:** (937) 558-3223
- **Practice address fax:** (937) 558-3247
- **Mailing address:** 1 PRESTIGE PL, SUITE 550, MIAMISBURG, OH 45342-3794
- **Mailing address phone:** (937) 762-1300
- **Mailing address fax:** (937) 762-1319

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | NULL | — |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 02/28/2006
- **Last updated:** 01/10/2023