| Kettering Health Medical Group Primary Care | |
|
825 N. Main St. Suite 140 Springboro OH 45066 | |
| (937) 762-5000 | |
| (937) 762-5099 |
| Full Name | Kettering Health Medical Group Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 825 N. Main St., Springboro, 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 |
|---|---|
| Kettering Health Medical Group Primary Care 1 Prestige Pl Ste 550 Miamisburg OH 45342-6115 Ph: (937) 762-1310 | Kettering Health Medical Group Primary Care 825 N. Main St. Suite 140 Springboro OH 45066 Ph: (937) 762-5000 |
| NPI Number | 1871930917 |
|---|---|
| Provider Enumeration Date | 05/30/2013 |
| Last Update Date | 01/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871930917 | NPI | - | NPPES |
| 0084835 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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Terrell Cemden Medical Consulting, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Tyler Court, Springboro, OH 45066 Phone: 937-866-0194 | |
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Premier Health Partners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 630 N Main St, Springboro, OH 45066 Phone: 937-748-4211 | |
Progressive Internal Medicine, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 38 Remick Blvd, Springboro, OH 45066 Phone: 937-886-1100 Fax: 937-886-1101 | |
Kathryn A. S. Wilson Do Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 32 S Richards Run, Springboro, OH 45066 Phone: 937-748-9051 Fax: 937-748-9054 | |
Springboro Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Sycamore Creek Dr, Suite C, Springboro, OH 45066 Phone: 937-748-4211 Fax: 937-748-3566 |