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

Individual provider Family Medicine Physician · NPI 1609194588

Mary Katelin Kanoza, MD is a Family Practice in Kettering, Ohio. Graduated from University of Toledo College of Medicine in 2010, 16 years ago. Practices with Alliance Physicians Inc, a 314-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
16
Trained at
University of Toledo College of Medicine
Licensed in
OH
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4441 Far Hills Ave
Kettering, OH 45429-2405
Phone: (937) 298-7351
Fax: (937) 298-9458
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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 35121178 (OH)

Record details

NPI number1609194588
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 17, 2010
Last updated in NPPESJanuary 20, 2021
Certification dateJanuary 20, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF TOLEDO COLLEGE OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Alliance Physicians Inc — 314 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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