Key Ponte Medical Weight Loss & Wellness Center Llc | |
7770 Cooper Rd Suite #8 Montgomery OH 45242-7744 | |
(513) 791-9474 | |
(513) 791-9475 |
Full Name | Key Ponte Medical Weight Loss & Wellness Center Llc |
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Speciality | Family Medicine |
Location | 7770 Cooper Rd, Montgomery, Ohio |
Authorized Official Name and Position | William Lovett (PRESIDENT) |
Authorized Official Contact | 9377439474 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Key Ponte Medical Weight Loss & Wellness Center Llc 235 Industrial Dr Franklin OH 45005-4429 Ph: (937) 743-9474 | Key Ponte Medical Weight Loss & Wellness Center Llc 7770 Cooper Rd Suite #8 Montgomery OH 45242-7744 Ph: (513) 791-9474 |
NPI Number | 1518394733 |
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Provider Enumeration Date | 10/02/2013 |
Last Update Date | 10/02/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518394733 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 35058433 (Ohio) | Primary |
207QB0002X | Family Medicine - Obesity Medicine | 35058433 (Ohio) | Secondary |
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