| Kettering Family Practice Llc | |
|
3716 Wilmington Pike Dayton OH 45429-4845 | |
| (937) 298-1439 | |
| (937) 298-7422 |
| Full Name | Kettering Family Practice Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3716 Wilmington Pike, Dayton, Ohio |
| Authorized Official Name and Position | Bradford J Murphy (OWNER) |
| Authorized Official Contact | 9372981439 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kettering Family Practice Llc 3716 Wilmington Pike Dayton OH 45429-4845 Ph: (937) 298-1439 | Kettering Family Practice Llc 3716 Wilmington Pike Dayton OH 45429-4845 Ph: (937) 298-1439 |
| NPI Number | 1881684959 |
|---|---|
| Provider Enumeration Date | 10/28/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881684959 | NPI | - | NPPES |
| 2339142 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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