Kettering Medical Center

Specialty details in registry · Miamisburg, OH

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At a glance

4000 Miamisburg-Centerville Rd, Miamisburg, OH 45342

NPPES record updated Jan 22, 2025. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

4000 Miamisburg-Centerville Rd
Miamisburg, OH 45342
Professional details: NPI, taxonomy & registry record
NPI1790859171
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
3336C0003X
Enumeration date
Nov 20, 2006
Record updated
Jan 22, 2025
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

333600000X

Specialty details in registry

3336C0003X · Primary

License reported: 021076650 OH

Specialty details in registry

3336C0003X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

4000 Miamisburg-Centerville Rd
Miamisburg, OH 45342
Phone
(937) 384-3868
Fax
(937) 384-3868
Mailing address
4301 LYONS RD.

MIAMISBURG, OH 45342
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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