Organization
WRIGHT STATE UNIVERSITY DEPT OF EMERGENCY MEDICINE
Active
Other names
Kettering Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY LOU HARRIS MD (RESIDENT, EMERGENCY MEDICINE)
(937) 395-8839
Entity
Organization
Contact information
Practice address
3535 SOUTHERN BLVD, KETTERING MEDICAL CENTER, KETTERING, OH 45429-1221
(937) 395-8839
Mailing address
3881 FELICE CT, BEAVERCREEK, OH 45432-2073
(937) 431-5401
Taxonomy
Speciality
Code
Description
License number
State
2865M2000X
Military General Acute Care Hospital
Primary
MD40610
TN
Other
Enumeration date
11/13/2006
Last updated
08/22/2020
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