Organization
ALLIANCE PHYSICIANS INC
Active
Other names
Kemp Road Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY Y KO (CFO)
(937) 588-3208
Entity
Organization
Contact information
Practice address
3359 KEMP RD, SUITE 100, BEAVERCREEK, OH 45431-2565
(937) 562-2290
(937) 562-2295
Mailing address
1 PRESTIGE PL, SUITE 550, MIAMISBURG, OH 45342-3794
(937) 752-2306
(937) 522-7626
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0077022
—
OH
Enumeration date
10/30/2012
Last updated
08/11/2014
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