Individual
MEGAN MATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 395-8166
Mailing address
1975 MIAMISBURG CENTERVILLE RD, CENTERVILLE, OH 45459-3811
(937) 439-6186
(937) 353-7219
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0461794
—
OH
Enumeration date
08/03/2021
Last updated
03/11/2026
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