Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

St Joseph Primary LLC

Organization Family Medicine Physician · NPI 1104866136

St Joseph Primary LLC provides Family Medicine Physician services 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 Not confirmed with CMS for 19 years — call before visiting
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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