Kettering Family Practice LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

KETTERING FAMILY PRACTICE LLC

Practice address

3716 Wilmington Pike
Dayton, OH 45429-4845

Phone

(937) 298-1439

Fax

(937) 298-7422

NPI assigned

Oct 28, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Bradford J Murphy, DO

Title

Owner

Phone

(937) 298-1439

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881684959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3716 WILMINGTON PIKE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454294845",
            "telephone_number": "937-298-1439",
            "fax_number": "937-298-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3716 WILMINGTON PIKE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454294845",
            "telephone_number": "937-298-1439",
            "fax_number": "937-298-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KETTERING FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "BRADFORD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-298-1439",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2339142",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karleigh Diane Kessler, PHARMD, RPH
• Margaret Kessler
• Tyler F Kessler, LISW
• William Joseph Kessler, M.D.
• Ket Meds Inc.
• Kettering Independent Medical Group Inc
• Kettering Nursing
• Kettering Pediatric & Family Care, Inc.
• Kettering Transportation Services LLC
• Kevin M Reid D O Inc

• Family Medicine Physician in Dayton, OH
• Providers in Dayton, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.