Kettering Independent Medical Group Inc

LBN: Kettering Independent Medical Group Inc
Kettering Independent Medical Group Inc is an health care organization with primary practice located at 4000 Miamisburg Centerville Rd Ste. 230, Miamisburg OH 45342-7615. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Kettering Independent Medical Group Inc can be contacted via phone (937) 384-0790, or through Ko, Timothy Y via phone (937) 558-3223.

Contact Information

Primary practice address
4000 Miamisburg Centerville Rd Ste. 230 Miamisburg OH 45342-7615
Phone: (937) 384-0790
Fax: (937) 384-0794
Website:
Map and Directions
Authorized official contact:
Name: Ko, Timothy Y
Phone: (937) 558-3223

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1083911390
LBN Legal business name Kettering Independent Medical Group Inc
DBA Doing business as
Authorized official Ko, Timothy Y
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2011
Last updated Jun 13th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083911390 NPPES
Ohio Other 614010103 FECA

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