Graduated: 2020
NPI: 1932701604
Practice Locations (2)
KETTERING INDEPENDENT MEDICAL GROUP INC
3535 PENTAGON BLVD, SUITE 320
BEAVERCREEK, OH 454311705
9374902270
UNIVERSITY OF CINCINNATI PHYSICIANS COMPANY LLC
3188 BELLEVUE AVE
CINCINNATI, OH 452192369
5135841000
Source: CMS National Downloadable File, September 2026.