KETTERING UROLOGY INSTITUTE INC NPI 1992956296

NPI Information

  • NPI: 1992956296
  • Provider Name: KETTERING UROLOGY INSTITUTE INC
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • Address: 3533 SOUTHERN BLVD
    STE 5800
    KETTERING, OH
    ZIP 45429
  • Phone: (937) 438-7682

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NPI Details

KETTERING UROLOGY INSTITUTE INC is an urology in Kettering, OH. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. KETTERING UROLOGY INSTITUTE INC NPI is 1992956296. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3533 SOUTHERN BLVD
STE 5800
KETTERING, OH
ZIP 45429-264
Phone: (937) 438-7682
Fax: (937) 547-2575

The provider's authorized official is Edward C Jacobs .
The authorized official title is President and has the following contact phone number (937) 547-0330.

The enumeration date for this NPI number is 10/6/2008 and was last updated on 10/6/2008.

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
1208800000XUrology35-07-3367OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
135-07-3367OTHEROHIOLICENSE
2A39849MEDICARE UPINOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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