Organization
KETTERING AFFILIATED HEALTH SERVICES
Active
Organization
KETTERING AFFILIATED HEALTH SERVICES
Active
Other names
Kettering Breast Evaluation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRETT SPENST (KMC NETWORK CFO)
(937) 395-8816
Entity
Organization
Contact information
Practice address
580 LINCOLN PARK BOULEVARD, SUITE 200, KETTERING BREAST EVALUATION CENTER, KETTERING, OH 45429
(937) 299-0099
Mailing address
2110 LEITER RD, MIAMISBURG, OH 45342-3660
(937) 298-3399
(937) 522-7685
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2287412
—
OH
Enumeration date
09/06/2006
Last updated
06/15/2011
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