| NPI | 1457542722 |
|---|---|
| Doing Business As | PREMIER EXPRESSCARE OF KETTERING |
| Entity Type | Organization |
| Authorized Contact | KENNETH PRUNIER President And CEO 937-208-8252 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2008-03-12 |