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 1104866136

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
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

3109 W Sycamore St
Kokomo, IN 46901-4026
Phone: (765) 457-8381
Fax: (765) 457-4443
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (IN)

Record details

NPI number1104866136
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Kellar — Regional Practice Manager · (765) 457-8381
Other names Sycamore Primary Care
NPI enumeratedJune 7, 2006
Last updated in NPPESOctober 23, 2007
Mailing address3109 W Sycamore St, Kokomo, IN 46901-4026

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