CSIS PROVIDER (PROVF) SUMMARY SHEET
UPI (Provider ID): 8355
Change Report (if Any):
Short Name: KETTERING-PREVE
Long Name 1: KETTERING PARKS RECREATION AND
Long Name 2: CULTURAL ARTS DEPARTMENT
Address 1: 3600 SHROYER ROAD
Address 2:
City: KETTERING
Zip Code: 45429
County: MONT
Contact: SHEILA RUSSELL
Title:
Phone: 9372962454
FAX: 9372963242
Vendor: 8355
Reports Status: CLAIMS/NO
MACSIS Last Update Date: 11/29/2011
File Produced: 19MAY2012