OrganizationActiveAccepts Medicare
Kettering Integrated Services LLC
NPI 1932643673 · Prosthetic/Orthotic Supplier · Kettering, OH
Enrolled with Medicare as Dme Supplier - Prosthetic Personnel · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1932643673
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Timothy Ko, Kettering Health Cfo(937) 558-3223
Specialties & taxonomies
Suppliers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
3700 Southern Blvd
Kettering, OH 45429-1226
Phone: (937) 281-3855
Street-level locationGet directions
Mailing address
2110 Leiter Rd
Miamisburg, OH 45342-3598
Other names (DBA / former)
- Doing business as
- Renew Boutique and Spa
- Doing business as
- Renew Boutique and Spa
Registry dates
- Enumerated
- 2016-12-15
- Last updated
- 2024-08-02
- Certified
- 2024-08-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.