Kettering Independent Medical Group Inc
Orthopaedic Surgery Clinic
1 Prestige Pl, Suite 910, Miamisburg
Ohio, 45342-3794
937-762-1629 Maps & DirectionsKettering Independent Medical Group Inc is a Family Medicine Clinic in Miamisburg, Ohio. It is situated at 1 Prestige Pl, Suite 910, Miamisburg and its contact number is 937-762-1629. The authorized person of Kettering Independent Medical Group Inc is Timothy Y Ko
who is Chief Financial Officer of the clinic and their contact number is 937-395-8522.
Kettering Independent Medical Group Inc Clinic Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Complete Profile:
Kettering Independent Medical Group Inc Clinic speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Specialization: | Family Medicine |
| Clinic Address: | 1 Prestige Pl, Suite 910, Miamisburg, Ohio, 45342-3794 |
| Phone: | 937-762-1629 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Timothy Y Ko |
| Position: | Chief Financial Officer |
| Contact Number: | 937-395-8522 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Kettering Independent Medical Group Inc Clinic are as mentioned below.
| NPI Number: | 1629387865 |
| NPI Enumeration Date: | 06 Oct, 2010 |
| NPI Last Update On: | 27 Mar, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kettering Independent Medical Group Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Orthopaedic Surgery | | | Primary | |
| Family Medicine | | | Secondary | |
| Internal Medicine | | | Secondary | |
| Cardiovascular Disease | | | Secondary | |
| Obstetrics & Gynecology | | | Secondary | |
| Surgery | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0207472 | Medicaid | Ohio | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Kettering Independent Medical Group Inc 1 Prestige Pl Ste 550, Miamisburg, Ohio |
| Zip: | 45342-6115 |
| Phone Number: | 937-762-1310 |
| Fax Number: | 937-522-8068 |
Patients can reach Kettering Independent Medical Group Inc at
1 Prestige Pl, Suite 910, Miamisburg, Ohio or can
call to book an appointment on 937-762-1629.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.