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Contact Information

KENDRA N VONDEREMBSE, DO
70 WELLER DR
TIPP CITY, OH45371
 Phone: 937-667-0400
 Fax: 937-506-3993
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for KENDRA N VONDEREMBSE · (Female)

NPI # 1093058083
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 03/28/2013
Last updated 11/16/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # 34.012508
  • OH Medicaid 0190281
Hospital affiliation(s)
  • GRANDVIEW HOSPITAL & MEDICAL CENTER - (Acute Care)
    405 GRAND AVENUE
    DAYTON, OH 45405
  • KETTERING MEDICAL CENTER - (Acute Care)
    3535 SOUTHERN BOULEVARD
    KETTERING, OH 45429
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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