Organization
KETTERING CARD AND VAS SURG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINE M WILSON CPC, CMPE, CSS (PRACTICE MANAGER)
(937) 294-3694
Entity
Organization
Contact information
Practice address
3533 SOUTHERN BLVD, STE 5650, KETTERING, OH 45429-1264
(937) 294-3611
(937) 294-9010
Mailing address
3533 SOUTHERN BLVD, STE 5650, KETTERING, OH 45429-1264
(937) 294-3611
(937) 294-9010
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0639867
—
OH
Enumeration date
05/15/2006
Last updated
12/01/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us