Family Medicine, Sports Medicine
ALLIANCE PHYSICIAN INC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1821160243 · enumerated 2006-11-14 · record updated 2019-10-04. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: TIMOTHY KO, CFO · (937) 558-3223
Other names: KETTERING SPORTS MEDICINE
Addresses and phones
- Practice location 4403 FAR HILLS AVE, KETTERING, OH, 45429-2405 (937) 395-3920 Fax (937) 395-3940 Google Maps Apple Maps OpenStreetMap
- Mailing address 1 PRESTIGE PL, SUITE 550, MIAMISBURG, OH, 45342-3794 (937) 762-1305 Fax (937) 522-7513 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine, Sports Medicine 207QS0010X · Primary
In this directory
OH Montgomery County Kettering Family Medicine, Sports Medicine
Locations and evidence
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Practice location
KETTERING, OH, 454292405
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.