Wallace Kettering Neuroscience Institute – Neurology Physician, NPI 1285916585

Neurology Physician

Wallace Kettering Neuroscience Institute is a healthcare provider. based in Miamisburg, Ohio. specializing in Neurology Physician. The NPI Number for Wallace Kettering Neuroscience Institute is 1285916585

Main info

Organization

Name

Wallace Kettering Neuroscience Institute

NPI

1285916585

Phone

(937) 384-4838

Address

2110 LEITER RD

Authorized Official

DANIEL D HAIBACH DIRECTOR BUSINESS DEVELOPMENT

Enumeration Date

13 September 2011

Last Update Date

13 September 2011

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience33

Completeness80

Years active:14State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Wallace Kettering Neuroscience Institute

2110 LEITER RD
MIAMISBURG, OH 453423660
Phone: (937) 384-4838
Fax: (937) 384-4845
Type: Mailing
3533 SOUTHERN BLVD
SUITE 5200
KETTERING, OH 454291275
Phone: (937) 395-8043
Fax: (937) 395-8139
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45342)

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Reviews

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Frequently asked questions

Can I verify Wallace Kettering Neuroscience Institute with an NPI only?

You can start verification with NPI 1285916585 for Wallace Kettering Neuroscience Institute, then check state licensing separately.

Can I rely on Wallace Kettering Neuroscience Institute being an active provider?

As of the registry snapshot, Wallace Kettering Neuroscience Institute is marked active.

What is Wallace Kettering Neuroscience Institute best known for clinically?

Directory data describes Wallace Kettering Neuroscience Institute with Neurology Physician. Clinical services aligned with this taxonomy classification.

Where should I expect Wallace Kettering Neuroscience Institute on a map?

Expect Miamisburg, Ohio as a primary anchor for Wallace Kettering Neuroscience Institute unless the record lists multiple sites.

Is the information about Wallace Kettering Neuroscience Institute up to date?

Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."