Carillon Family Practice Ltd
Family Medicine in Kettering, OH. Organization (NPI-2).
NPI number1366429342
StatusActive
Last updated in NPPESDec 17, 2009
Details
- NPI
- 1366429342
- Entity type
- Organization (NPI-2)
- Legal business name
- Carillon Family Practice Ltd
- Organization subpart
- No
- Enumeration date
- Dec 29, 2005
- Last updated
- Dec 17, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
2501 S Dixie DrKettering, OH 45409-1523
Phone 937-643-3083 · Fax 937-643-3089
Mailing address
2501 S Dixie DrKettering, OH 45409-1523
Phone 937-643-3083 · Fax 937-643-3089
Authorized official
Annette M Chavez
Owner/Physician
9376433083
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