| Kettering Breast Evaluation Center | |
|
580 Lincoln Park Boulevard, Suite 200 Kettering Breast Evaluation Center Kettering OH 45429 | |
| (937) 299-0099 | |
| Not Available |
| Full Name | Kettering Breast Evaluation Center |
|---|---|
| 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 Breast Evaluation Center 2110 Leiter Rd Miamisburg OH 45342-3660 Ph: (937) 298-3399 | Kettering Breast Evaluation Center 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 |
Kevin G Malloy Md, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5250 Far Hills Ave, Ste 250, Kettering, OH 45429 Phone: 937-435-6500 Fax: 937-435-6514 | |
Post Acute Solutions, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1251 E Dorothy Ln, Suite A, Kettering, OH 45419 Phone: 513-575-6325 Fax: 937-853-0552 | |
Infectious Diseases Associates Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3533 Southern Blvd Ste 4200, Kettering, OH 45429 Phone: 937-572-7648 Fax: 937-832-8279 | |
Coumadin Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-384-6845 Fax: 937-384-6939 | |
Khn Ip Med Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-395-6665 Fax: 937-522-9260 | |
Fred L Tanzer Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4750 Hempstead Station Dr, Kettering, OH 45429 Phone: 513-543-3746 Fax: 513-557-3347 |