Graduated: 2013
NPI: 1780008706
Practice Locations (2)
KETTERING INDEPENDENT MEDICAL GROUP INC
3533 SOUTHERN BLVD, SUITE 2100
KETTERING, OH 454291267
93739585561267
OU HEALTH PARTNERS INC
900 NE 10TH ST, OUHP FAMILY MEDICINE
OKLAHOMA CITY, OK 731045420
5722440065
Source: CMS National Downloadable File, September 2026.