Individual
DR. KURT ANDREW FLEAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5250 FAR HILLS AVE STE 210, KETTERING, OH 45429-2353
(937) 434-4775
(833) 450-5129
Mailing address
5250 FAR HILLS AVE STE 210, KETTERING, OH 45429-2353
(937) 434-4775
(937) 434-4779
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35067242
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000348732
ANTHEM
OH
05
—
0264904
—
OH
01
—
352238745001
MEDICAL MUTUAL
OH
Enumeration date
08/02/2005
Last updated
05/05/2024
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