Organization
KETTERING HEALTH NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS AMANDA MALONE CPMSM CPCS (CREDENTIALING SPECIALIST)
(937) 298-3399
Entity
Organization
Contact information
Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 298-3399
(937) 395-8007
Mailing address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 298-3399
(937) 395-8007
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
310621866
OH
Other
Enumeration date
05/10/2010
Last updated
05/10/2010
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