Organization
KETTERING INDEPENDENT MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY Y KO (CFO)
(937) 558-3223
Entity
Organization
Contact information
Practice address
3535 PENTAGON BLVD, STE. 320, BEAVERCREEK, OH 45431-1705
(937) 433-5309
(937) 424-3650
Mailing address
1 PRESTIGE PL STE 550, MIAMISBURG, OH 45342-6115
(937) 762-1310
(937) 522-8068
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/12/2011
Last updated
06/13/2023
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