St Joseph Primary LLC

NPI #1073569364 in Kokomo, Indiana

Provider Information

NPI Number
1073569364
Entity Type
Organization
Organization Name
St Joseph Primary LLC
Primary Specialty
Clinic/Center - Urgent Care
Enumeration Date
May 26, 2006
Last Updated
Nov 16, 2007

Practice Location

Address
5111 CLINTON DR
City
Kokomo
State
Indiana
ZIP Code
46902-7136
Phone
(765) 453-8800

Authorized Official

Name
ANDREW KELLAR
Title
REGIONAL PRACTICE ADMINISTRATOR
Phone
(765) 457-8381

Specialties & Taxonomy Codes

Specialty
Family Medicine
Clinic/Center - Urgent CareUrgent Care

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