Organization
KETTERING INDEPENDENT MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY Y KO (CFO)
(937) 558-3223
Entity
Organization
Contact information
Practice address
6438 WILMINGTON PIKE, SUITE 220, DAYTON, OH 45459-7022
(937) 433-5309
(937) 424-3650
Mailing address
1 PRESTIGE PL, SUITE 550, MIAMISBURG, OH 45342-3794
(937) 762-1306
(937) 522-7626
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/18/2011
Last updated
06/13/2023
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