Kokomo Urology Inc.

NPI #1104026160 in Kokomo, Indiana

Provider Information

NPI Number
1104026160
Entity Type
Organization
Organization Name
Kokomo Urology Inc.
Primary Specialty
Urology
Enumeration Date
Jul 18, 2007
Last Updated
May 12, 2008

Practice Location

Address
2345 W LINCOLN RD
City
Kokomo
State
Indiana
ZIP Code
46902-8012
Phone
(765) 455-4075

Authorized Official

Name
DR. WILLIS W PEELLE, M.D.
Title
PRESIDENT
Phone
(765) 455-4075

Specialties & Taxonomy Codes

Specialty
Urology

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