Kemp Road Family Practice | |
3359 Kemp Rd Suite 100 Beavercreek OH 45431-2565 | |
(937) 562-2290 | |
(937) 562-2295 |
Full Name | Kemp Road Family Practice |
---|---|
Speciality | Family Medicine |
Location | 3359 Kemp Rd, Beavercreek, Ohio |
Authorized Official Name and Position | Timothy Y Ko (CFO) |
Authorized Official Contact | 9375883208 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kemp Road Family Practice 1 Prestige Pl Suite 550 Miamisburg OH 45342-3794 Ph: (937) 752-2306 | Kemp Road Family Practice 3359 Kemp Rd Suite 100 Beavercreek OH 45431-2565 Ph: (937) 562-2290 |
NPI Number | 1891049722 |
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Provider Enumeration Date | 10/30/2012 |
Last Update Date | 08/11/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891049722 | NPI | - | NPPES |
0077022 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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