Organization
ALLIANCE PHYSICIANS INC
Active
Other names
KMC OB on call
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY Y KO (CFO)
(937) 558-3223
Entity
Organization
Contact information
Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 429-7350
Mailing address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 429-7350
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0059749
—
OH
Enumeration date
01/20/2012
Last updated
10/04/2019
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