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Active NPI 1932643673 Organization (Entity Type 2)

Kettering Integrated Services Llc

Prosthetic/Orthotic Supplier • Kettering, OH

About Kettering Integrated Services Llc NPI 1932643673 Summary

Kettering Integrated Services Llc is a verified healthcare organization specializing in Prosthetic/Orthotic Supplier operating in Kettering, OH. Located at 3700 SOUTHERN BLVD, this facility provides patient care and medical services under National Provider Identifier (NPI) 1932643673.

Administrative operations and authorized compliance are overseen by Timothy Ko (Kettering Health Cfo).

The facility is associated with 7 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

3700 Southern Blvd

Kettering, OH 454291226

Telephone 9372813855

Authorized Official Information

Authorized Contact Name

Timothy Ko

Title / Role

Kettering Health Cfo

Official Telephone

9375583223

Facility Classifications & Specialties

Prosthetic/Orthotic Supplier Primary Taxonomy

NUCC Taxonomy Code: 335E00000X

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

7 Linked
Matthew Willoughby NPI 1033626783

Pharmacist

Kettering, OH

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Pharmacist

Kettering, OH

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Pharmacist - Compounded Sterile Preparations

Kettering, OH

View Practitioner Profile →
Katlyn Robison , NP NPI 1366148819

Nurse Practitioner - Family

Kettering, OH

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Internal Medicine - Hematology & Oncology

Kettering, OH

View Practitioner Profile →
Erin Bonanni NPI 1710861687

Pharmacist

Kettering, OH

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

12 Historical Events
NPI Profile Active February 24, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 24, 2017

Registered at 3700 SOUTHERN BLVD, KETTERING, OH 454291226 (Tel: 9372813855)

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Updated Business Mailing Address February 24, 2017

Registered at 2110 LEITER RD, MIAMISBURG, OH 453423598 (Tel: 9379147601)

🏛️
Organization / Clinic Name Updated February 24, 2017

Operating as KETTERING INTEGRATED SERVICES LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2017

Prosthetic/Orthotic Supplier

📍
Updated Practice Location January 19, 2017

Registered at 3700 SOUTHERN BLVD, KETTERING, OH 454291226 (Tel: 9372813855)

NPI Profile Active December 15, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 15, 2016

Registered at 3700 SOUTHERN BLVD, KETTERING, OH 45429 (Tel: 9379147601)

📍
Updated Business Mailing Address December 15, 2016

Registered at 2110 LEITER RD, MIAMISBURG, OH 453423598 (Tel: 9379147601)

🏛️
Organization / Clinic Name Updated December 15, 2016

Operating as KETTERING INTEGRATED SERVICES LLC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 15, 2016

Prosthetic/Orthotic Supplier

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Initial NPI Registration & Enumeration December 15, 2016

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1932643673
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: December 15, 2016
Last Update: August 02, 2024

Mailing Address

2110 Leiter Rd

Miamisburg, OH 453423598

Phone: 9379147601

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.