Organization
KETTERING INTEGRATED SERVICES LLC
Active
Organization
KETTERING INTEGRATED SERVICES LLC
Active
Other names
Renew Boutique and Spa
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY KO (KETTERING HEALTH CFO)
(937) 558-3223
Entity
Organization
Contact information
Practice address
3700 SOUTHERN BLVD, KETTERING, OH 45429-1226
(937) 281-3855
Mailing address
2110 LEITER RD, MIAMISBURG, OH 45342-3598
(937) 914-7601
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0234746
—
OH
Enumeration date
12/15/2016
Last updated
08/02/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up