Graduated: 1986
NPI: 1073582201
Practice Locations (11)
KETTERING INDEPENDENT MEDICAL GROUP INC
3535 PENTAGON BLVD
BEAVERCREEK, OH 454311705
KETTERING INDEPENDENT MEDICAL GROUP INC
3535 PENTAGON PARK BLVD, SUITE 400
DAYTON, OH 454311705
9374902264
KETTERING INDEPENDENT MEDICAL GROUP INC
3535 SOUTHERN BLVD, FL 4
KETTERING, OH 454291221
9373958251
KETTERING INDEPENDENT MEDICAL GROUP INC
1380 E STROOP RD
KETTERING, OH 454294926
9372933486
KETTERING INDEPENDENT MEDICAL GROUP INC
4403 FAR HILLS AVE
KETTERING, OH 454292405
9374335309
KETTERING INDEPENDENT MEDICAL GROUP INC
3535 SOUTHERN BLVD
KETTERING, OH 454291221
9373958646
KETTERING INDEPENDENT MEDICAL GROUP INC
4441 FAR HILLS AVE
KETTERING, OH 454292405
9372987751
KETTERING INDEPENDENT MEDICAL GROUP INC
4000 MIAMISBURG CENTERVILLE RD
MIAMISBURG, OH 453427615
KETTERING INDEPENDENT MEDICAL GROUP INC
6147 STATE ROUTE 122
MIDDLETOWN, OH 450055201
KETTERING INDEPENDENT MEDICAL GROUP INC
6147 W STATE ROUTE 122, SUITE 200
MIDDLETOWN, OH 450055201
9372944356
KETTERING INDEPENDENT MEDICAL GROUP INC
600 W MAIN ST
TROY, OH 453733384
Source: CMS National Downloadable File, September 2026.