# WRIGHT STATE UNIVERSITY DEPT OF EMERGENCY MEDICINE

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

## Provider details

- **NPI number:** 1699846287
- **Authorized official:** CINDY LOU HARRIS MD (RESIDENT, EMERGENCY MEDICINE)
- **Authorized official phone:** (937) 395-8839

## Contact information

- **Practice address:** 3535 SOUTHERN BLVD, KETTERING MEDICAL CENTER, KETTERING, OH 45429-1221
- **Practice address phone:** (937) 395-8839
- **Mailing address:** 3881 FELICE CT, BEAVERCREEK, OH 45432-2073
- **Mailing address phone:** (937) 431-5401

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2865M2000X | Military General Acute Care Hospital | MD40610 | TN | Yes |

## Other

- **Enumeration date:** 11/13/2006
- **Last updated:** 08/22/2020