Organization
KETTERING MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE MALAVICH (HR REPRESENTATIVE)
(937) 395-8863
Entity
Organization
Contact information
Practice address
524 GRANTS TRL, CENTERVILLE, OH 45459-3120
(937) 367-7317
Mailing address
524 GRANTS TRAIL, CENTERVILLE, OH 45459
(937) 367-7317
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
RN270267
OH
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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