Kettering Specialty Care, Inc.

LBN: Kettering Independent Medical Group Inc
Kettering Specialty Care, Inc. is an health care organization with primary practice located at 1 Prestige Pl Suite 910, Miamisburg OH 45342-3794. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is the primary health care specialty. Kettering Independent Medical Group Inc can be contacted via phone (937) 762-1629, or through Ko, Timothy Y via phone (937) 395-8522.

Contact Information

Primary practice address
1 Prestige Pl Suite 910 Miamisburg OH 45342-3794
Phone: (937) 762-1629
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ko, Timothy Y
Phone: (937) 395-8522

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1629387865
LBN Legal business name Kettering Independent Medical Group Inc
DBA Doing business as Kettering Specialty Care, Inc.
Authorized official Ko, Timothy Y
Entity Organization
Organization subpart 1 No
Enumeration date Oct 6th, 2010
Last updated Mar 27th, 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 1629387865 NPPES
Ohio MEDICAID 0207472

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