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

St Joseph Primary LLC

Organization Family Medicine Physician · NPI 1073569364

St Joseph Primary LLC is a Family Medicine Physician in Kokomo, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
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

5111 Clinton Dr
Kokomo, IN 46902-7136
Phone: (765) 453-8800
Fax: (765) 457-4443
Show map & directions

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

Specialties & licences

Urgent Care Clinic/Center (primary) Taxonomy 261QU0200X (IN)
Family Medicine Physician Taxonomy 207Q00000X (IN)

Record details

NPI number1073569364
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Kellar — Regional Practice Administrator · (765) 457-8381
Other names Med One Of St Joseph
NPI enumeratedMay 26, 2006
Last updated in NPPESNovember 16, 2007
Mailing address5111 Clinton Dr, Kokomo, IN 46902-7136

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