Orthopaedic Surgery
KETTERING INDEPENDENT MEDICAL GROUP 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 Plan acceptance stays unpublished until the practice reports it.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 1629387865 · enumerated 2010-10-06 · record updated 2023-03-27. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: TIMOTHY KO, Chief Financial Officer · (937) 395-8522
Other names: KETTERING SPECIALTY CARE, INC.
Addresses and phones
- Practice location 1 PRESTIGE PL, SUITE 910, MIAMISBURG, OH, 45342-3794 (937) 762-1629 Google Maps Apple Maps OpenStreetMap
- Mailing address 1 PRESTIGE PL STE 550, MIAMISBURG, OH, 45342-6115 (937) 762-1310 Fax (937) 522-8068 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine 207Q00000X
- Internal Medicine 207R00000X
- Internal Medicine, Cardiovascular Disease 207RC0000X
- Obstetrics & Gynecology 207V00000X
- Surgery 208600000X
- Orthopaedic Surgery 207X00000X · Primary
In this directory
Locations and evidence
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Practice location
MIAMISBURG, OH, 453423794
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.