OrganizationActive
Alliance Physician Inc
NPI 1821160243 · Sports Medicine (Family Medicine) Physician · Kettering, OH
Provider details
- NPI number
- 1821160243
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Alliance Physicians, Inc
- Authorized official
- Timothy Ko, Cfo
Practice location
4403 Far Hills Ave
Kettering, OH 45429-2405
Phone: (937) 395-3920
Fax: (937) 395-3940
Mailing address
1 Prestige Pl
Miamisburg, OH 45342-3794
Registry dates
- Enumerated
- 2006-11-14
- Last updated
- 2019-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.