| Khn Ip Med | |
|
3535 Southern Blvd Kettering OH 45429-1221 | |
| (937) 395-6665 | |
| (937) 522-9260 |
| Full Name | Khn Ip Med |
|---|---|
| Speciality | Hospitalist |
| Location | 3535 Southern Blvd, Kettering, Ohio |
| Authorized Official Name and Position | Timothy Y Ko (CFO) |
| Authorized Official Contact | 9375583223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Khn Ip Med 1 Prestige Pl Suite 550 Miamisburg OH 45342-3794 Ph: (937) 752-2305 | Khn Ip Med 3535 Southern Blvd Kettering OH 45429-1221 Ph: (937) 395-6665 |
| NPI Number | 1023409257 |
|---|---|
| Provider Enumeration Date | 02/10/2015 |
| Last Update Date | 10/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023409257 | NPI | - | NPPES |
| 0132544 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | (* (Not Available)) | Primary |
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