ALLIANCE PHYSICIANS INC. NPI 1235554650

NPI Information

  • NPI: 1235554650
  • Provider Name: ALLIANCE PHYSICIANS, INC.
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Organization
  • Doing Business As: KETTERING SURGICAL ASSOCIATES
  • Address: 1251 NILLES RD
    SUITE 17
    FAIRFIELD, OH
    ZIP 45014
  • Phone: (937) 829-7133

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NPI Details

ALLIANCE PHYSICIANS, INC. is a vascular surgery surgery in Fairfield, OH. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. ALLIANCE PHYSICIANS, INC. NPI is 1235554650. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Kettering Surgical Associates.

The provider's business location address is:

1251 NILLES RD
SUITE 17
FAIRFIELD, OH
ZIP 45014-206
Phone: (937) 829-7133
Fax: (937) 829-7134

The provider's authorized official is Timothy Y Ko .
The authorized official title is Cfo and has the following contact phone number (937) 558-3223.

The enumeration date for this NPI number is 2/21/2014 and was last updated on 10/4/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgeryNo
22086S0129XSurgeryVascular SurgeryYes

What is NPI?

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This page was last updated on: 3/30/2025

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