Organization
KETTERING SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY WELLS (BUSINESS MANAGER)
(937) 395-3900
Entity
Organization
Contact information
Practice address
25 S TIPPECANOE DR, TIPP CITY, OH 45371-1167
(937) 669-5757
(937) 669-1270
Mailing address
25 S TIPPECANOE DR, TIPP CITY, OH 45371-1167
(937) 669-5757
(937) 669-1270
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
AT 001770
OH
282N00000X
General Acute Care Hospital
Primary
PT 009747
OH
Other
Enumeration date
05/20/2013
Last updated
05/20/2013
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