Organization
ALLIANCE PHYSICIANS INC
Active
Other names
Kettering Health Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY Y KO (CREDENTIALING SPECIALIST)
(937) 558-3223
Entity
Organization
Contact information
Practice address
50 N PROGRESS DR, XENIA, OH 45385-2666
(937) 352-2850
(937) 352-2854
Mailing address
1 PRESTIGE PL STE 550, MIAMISBURG, OH 45342-6115
(937) 762-1310
(937) 522-8068
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0104058
—
OH
Enumeration date
06/03/2014
Last updated
01/10/2023
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