Individual
NATHAN MCFADDEN I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AT
Contact information
Practice address
4403 FAR HILLS AVE, KETTERING, OH 45429-2405
(937) 395-3920
Mailing address
4403 FAR HILLS AVE, KETTERING, OH 45429-2405
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
AT.004670
OH
Other
Enumeration date
01/08/2016
Last updated
01/08/2016
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