Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Beavertown Clinic Inc

Organization Family Medicine Physician · NPI 1902803703

Beavertown Clinic Inc is a Family Medicine Physician in Kettering, Ohio. Licensed in Ohio. Registered with an NPI since 2005.

Licensed in
OH
In the registry since
2005
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3017 Wilmington Pike
Kettering, OH 45429-4169
Phone: (937) 294-2555
Fax: (937) 294-3211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 35052219R (OH)
Family Medicine Physician Taxonomy 207Q00000X · Licence 35058825R (OH)

Record details

NPI number1902803703
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bernard Rose — Physician · (937) 294-2555
NPI enumeratedJuly 7, 2005
Last updated in NPPESFebruary 23, 2010
Mailing address3017 Wilmington Pike, Kettering, OH 45429-4169

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