Graduated: 1988
NPI: 1811996580
Practice Locations (2)
KETTERING INDEPENDENT MEDICAL GROUP INC
1010 CEREAL AVE, SUITE 207
HAMILTON, OH 450132772
5138673331
SOMC MEDICAL CARE FOUNDATION, INC.
1711 27TH ST
PORTSMOUTH, OH 456622654
7403568772
Source: CMS National Downloadable File, September 2026.