St Joseph Primary LLC
St Joseph Primary LLC provides Gastroenterology 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.
Practice location Address checks out
615 Saint Joseph DrKokomo, IN 46901-1890 Not confirmed with CMS for 18 years — call before visiting
Phone: (765) 236-0610
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Gastroenterology Physician (primary) | Taxonomy 207RG0100X · Licence 0104783A (IN) |
|---|
Record details
| NPI number | 1265489975 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Andrew Kellar — Regional Practice Administrator · (765) 457-8381 |
| Other names | Kokomo Gastroenterology & Hepatology |
| NPI enumerated | May 28, 2006 |
| Last updated in NPPES | November 16, 2007 |
| Mailing address | 615 Saint Joseph Dr, Kokomo, IN 46901-1890 |
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