| Kettering Affiliated Health Services | |
|
580 Lincoln Park Boulevard, Suite 200 Kettering Breast Evaluation Center Kettering OH 45429 | |
| (937) 299-0099 | |
| Not Available |
| Full Name | Kettering Affiliated Health Services |
|---|---|
| Speciality | Clinic/center |
| Location | 580 Lincoln Park Boulevard, Suite 200, Kettering, Ohio |
| Authorized Official Name and Position | Brett Spenst (KMC NETWORK CFO) |
| Authorized Official Contact | 9373958816 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kettering Affiliated Health Services 2110 Leiter Rd Miamisburg OH 45342-3660 Ph: (937) 298-3399 | Kettering Affiliated Health Services 580 Lincoln Park Boulevard, Suite 200 Kettering Breast Evaluation Center Kettering OH 45429 Ph: (937) 299-0099 |
| NPI Number | 1003919176 |
|---|---|
| Provider Enumeration Date | 09/06/2006 |
| Last Update Date | 06/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003919176 | NPI | - | NPPES |
| 2287412 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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