| NPI | 1821160243 |
|---|---|
| Doing Business As | KETTERING SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY Y KO CFO 937-558-3223 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2019-10-04 |