OrganizationActive
Kettering Independent Medical Group Inc
NPI 1679878060 · Durable Medical Equipment & Medical Supplies · Kettering, OH
Provider details
- NPI number
- 1679878060
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Timothy Ko, Cfo(937) 558-3223
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3737 Southern Blvd
Suite 2100
Kettering, OH 45429-1262
Phone: (937) 294-1632
Street-level locationGet directions
Mailing address
1 Prestige Pl Ste 550
Miamisburg, OH 45342-6115
Registry dates
- Enumerated
- 2011-01-18
- Last updated
- 2023-06-13
- Certified
- 2023-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.