Unknown Individual – Anatomic Pathology & Clinical Pathology Physician, NPI 1639129703

Unknown Individual is a healthcare provider. based in Kettering, Ohio. specializing in Anatomic Pathology & Clinical Pathology Physician. They hold a License No. 35054949 (OH). The NPI Number for Unknown Individual is 1639129703

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1639129703
Phone
(937) 395-8849
Address
3535 SOUTHERN BLVD.
Deactivation Date
18 February 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Kettering Medical Center, 3535, Southern Boulevard, Kettering, Montgomery County, Ohio, 45429, United States

    KETTERING, OH 45429

    Phone: (937) 395-8849

    Fax: (937) 395-8350

    Mailing address matches the actual address.

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.

This can happen when there are no reportable CMS Open Payments records.

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 45429)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1639129703 uniquely identifies Unknown Individual in U.S. healthcare data.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Anatomic Pathology & Clinical Pathology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Kettering, Ohio in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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