Graduated: 1990
NPI: 1326003781
Practice Locations (6)
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
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
Source: CMS National Downloadable File, September 2026.