Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1997
NPI: 1336142603
Practice Locations (4)
KETTERING INDEPENDENT MEDICAL GROUP INC
7700 WASHINGTON VILLAGE DR, SUITE 130
CENTERVILLE, OH 454594094
9375310195
KETTERING INDEPENDENT MEDICAL GROUP INC
8701 OLD TROY PIKE
HUBER HEIGHTS, OH 454241053
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.