| Primed Physicians | |
|
4441 Far Hills Ave Kettering OH 45429-2405 | |
| (937) 298-7351 | |
| (937) 298-9458 |
| Full Name | Primed Physicians |
|---|---|
| Speciality | Family Medicine |
| Location | 4441 Far Hills Ave, Kettering, Ohio |
| Authorized Official Name and Position | Mark A Couch (PRESIDENT) |
| Authorized Official Contact | 9378983600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primed Physicians 4700 Smith Rd Ste A Cincinnati OH 45212-2774 Ph: (513) 619-6819 | Primed Physicians 4441 Far Hills Ave Kettering OH 45429-2405 Ph: (937) 298-7351 |
| NPI Number | 1336107168 |
|---|---|
| Provider Enumeration Date | 05/02/2006 |
| Last Update Date | 12/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336107168 | NPI | - | NPPES |
| 0115315 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 213E00000X | Podiatrist | (* (Not Available)) | Secondary |
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