St Joseph Primary LLC
St Joseph Primary LLC provides Pediatrics 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
3109 W Sycamore StKokomo, IN 46901-4026 Not confirmed with CMS for 18 years — call before visiting
Phone: (765) 457-8381
Fax: (765) 457-4443
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
| Pediatrics Physician (primary) | Taxonomy 208000000X (IN) |
|---|
Record details
| NPI number | 1982650164 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Andrew Kellar — Regional Practice Administrator · (765) 457-8381 |
| Other names | Sycamore Pediatrics & Adolescents |
| NPI enumerated | May 26, 2006 |
| Last updated in NPPES | November 16, 2007 |
| Mailing address | 3109 W Sycamore St, Kokomo, IN 46901-4026 |
Other providers in Kokomo
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Radcliffe Jones, MD
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Dr. Samatha Madhavarapu, MD
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Eric O'Banion, MD
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Olatubosun Olasupo Oguntoye, MD
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Dana Y Stewart, MD
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Robert Zentz, MD
3118 S Lafountain St, Kokomo, IN 46902-3710 · (765) 864-4160