Kettering Sports Medicine – Sports Medicine (Family Medicine) Physician, NPI 1821160243
Sports Medicine (Family Medicine) Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Kettering Sports Medicine
4403, Far Hills Avenue, Grantland Gardens, Kettering, Montgomery County, Ohio, 45429, United States
KETTERING, OH 454292405
Phone: (937) 395-3920
Fax: (937) 395-3940
Type: Location
1, Prestige Plaza Drive, South Dayton, Miamisburg, Montgomery County, Ohio, 45342, United States
SUITE 550
MIAMISBURG, OH 453423794
Phone: (937) 762-1305
Fax: (937) 522-7513
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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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 ·
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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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