Organization
KETTERING MEDICAL CENTER
Active
Parent organization
KETTERING MEDICAL CENTER
Other names
Kettering Reproductive Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
KETTERING MEDICAL CENTER
Authorized official
MR. CLIFTON D PATTEN (CFO)
(937) 395-8992
Entity
Organization
Contact information
Practice address
3533 SOUTHERN BOULEVARD, SUITE 4100, KETTERING, OH 45429-1298
(937) 395-8444
Mailing address
2110 LEITER RD, MIAMISBURG, OH 45342-3660
(937) 298-3399
(937) 522-7685
Taxonomy
Speciality
Code
Description
License number
State
261QA0006X
Ambulatory Fertility Facility
Primary
1017
OH
Other
Enumeration date
08/18/2006
Last updated
10/27/2015
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