Graduated: 1990
NPI: 1104872779
Practice Locations (5)
KETTERING INDEPENDENT MEDICAL GROUP INC
3535 SOUTHERN BLVD
KETTERING, OH 454291221
9373958646
KETTERING INDEPENDENT MEDICAL GROUP INC
3535 SOUTHERN BLVD, FL 4
KETTERING, OH 454291221
9373958251
KETTERING INDEPENDENT MEDICAL GROUP INC
4403 FAR HILLS AVE
KETTERING, OH 454292405
9374335309
KETTERING INDEPENDENT MEDICAL GROUP INC
4441 FAR HILLS AVE
KETTERING, OH 454292405
9372987751
UNIVERSITY OF CINCINNATI PHYSICIANS COMPANY LLC
7750 DISCOVERY DR
WEST CHESTER, OH 450692598
5138727100
Source: CMS National Downloadable File, September 2026.