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

Wagoner Medical Center, LLC

Organization Family Medicine Physician · NPI 1245458355

Wagoner Medical Center, LLC is a Family Medicine Physician in Kokomo, Indiana. Registered with an NPI since 2007.

In the registry since
2007
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

2016 W Sycamore
Kokomo, IN 46901
Phone: (765) 566-3303
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1245458355
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Wagoner — Administrator · (765) 566-3303
NPI enumeratedApril 23, 2007
Last updated in NPPESMay 15, 2009
Mailing address605 E 7th Street, Burlington, IN 46915-0038

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