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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