Organization
KETTERING PATHOLOGY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBBIE MAY (OFFICE ADMINISTRATOR)
(937) 298-3399
Entity
Organization
Contact information
Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429
(937) 395-8849
(937) 395-8350
Mailing address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 395-8849
(937) 395-8350
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0535111
—
OH
Enumeration date
05/09/2006
Last updated
03/03/2025
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