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

Kettering Independent Medical Group Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1881999449

Kettering Independent Medical Group Inc is a Durable Medical Equipment & Medical Supplies in Beavercreek, Ohio. Registered with an NPI since 2011.

In the registry since
2011
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

3535 Pentagon Blvd Ste 320
Beavercreek, OH 45431-1705
Phone: (937) 433-5309
Fax: (937) 424-3650
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X

Record details

NPI number1881999449
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Ko — Cfo · (937) 558-3223
NPI enumeratedJanuary 12, 2011
Last updated in NPPESJune 13, 2023
Certification dateJune 13, 2023
Mailing address1 Prestige Pl Ste 550, Miamisburg, OH 45342-6115

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