Kokomo Surgical Group, LLC

NPI #1437286655 in Kokomo, Indiana

Provider Information

NPI Number: 1437286655
Entity Type: Organization
Organization Name: Kokomo Surgical Group, LLC
Primary Specialty: Surgery
Enumeration Date: Feb 27, 2007
Last Updated: Oct 20, 2009

Practice Location

Address: 2000 W BOULEVARD
City: Kokomo
State: Indiana
ZIP Code: 46902-6079
Phone: (765) 456-1790

Authorized Official

Name: DR. ANNEMARIE P DESANTO, M.D.
Title: PARTNER
Phone: (765) 456-1790

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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