| NPI | 1871930917 |
|---|---|
| Doing Business As | KETTERING HEALTH MEDICAL GROUP PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY Y KO CFO 937-558-3223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2023-01-10 |