Graduated: 2014
NPI: 1730595141
Practice Locations (3)
SSM HEALTH CARE GROUP
1201 S GRAND BLVD
SAINT LOUIS, MO 631041016
3146172000
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.