St Joseph Primary LLC
NPI #1265489975 in Kokomo, Indiana
Provider Information
- NPI Number
- 1265489975
- Entity Type
- Organization
- Organization Name
- St Joseph Primary LLC
- Primary Specialty
- Internal Medicine - Gastroenterology
- Enumeration Date
- May 28, 2006
- Last Updated
- Nov 16, 2007
Practice Location
Authorized Official
- Name
- ANDREW KELLAR
- Title
- REGIONAL PRACTICE ADMINISTRATOR
- Phone
- (765) 457-8381
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Gastroenterology — Gastroenterology |
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