Graduated: 2019
NPI: 1902366313
Practice Locations (2)
KETTERING INDEPENDENT MEDICAL GROUP INC
3535 PENTAGON BLVD, SUITE 220
BEAVERCREEK, OH 454311705
9374297350
MARY RUTAN HOSPITAL
110 DOWELL AVE
BELLEFONTAINE, OH 433112305
9375993538
Source: CMS National Downloadable File, September 2026.