Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Princeton Clinic LLC

Organization Surgery Physician · NPI 1790021194

Princeton Clinic LLC is a Surgery Physician in Princeton, Indiana. Licensed in Indiana. Registered with an NPI since 2012.

Licensed in
IN
In the registry since
2012
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

121 N Hart St
Princeton, IN 47670-1532
Phone: (812) 385-5820
Fax: (812) 385-5826
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X (IN)
Physician Assistant Taxonomy 363A00000X (IN)

Record details

NPI number1790021194
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kyle Johnson — President/Ceo · (812) 385-8306
NPI enumeratedDecember 13, 2012
Last updated in NPPESDecember 13, 2012
Mailing addressPo Box 3276, Evansville, IN 47731-3276

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