St. Joseph Primary LLC
NPI #1295935484 in Kokomo, Indiana
Provider Information
- NPI Number
- 1295935484
- Entity Type
- Organization
- Organization Name
- St. Joseph Primary LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Jul 25, 2007
- Last Updated
- Nov 16, 2007
Practice Location
Authorized Official
- Name
- MR. ANDREW KELLAR
- Title
- REGIONAL PRACTICE ADMINISTRATOR
- Phone
- (765) 457-8381
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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