# KETTERING REPRODUCTIVE HEALTH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518389113
- **Authorized official:** DR. JEREMY M GROLL M,D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (937) 395-8444

## Contact information

- **Practice address:** 3533 SOUTHERN BLVD, KETTERING, OH 45429-1264
- **Practice address phone:** (937) 395-8444
- **Practice address fax:** (937) 395-8450
- **Mailing address:** 3533 SOUTHERN BLVD, KETTERING, OH 45429-1264
- **Mailing address phone:** (937) 395-8444
- **Mailing address fax:** (937) 395-8450

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 35.084514 | MI | Yes |

## Other

- **Enumeration date:** 01/16/2014
- **Last updated:** 01/16/2014